Laser Pointer Retinopathy Mimicking Solar Retinopathy

The above images were taken of a 14-year-old male complaining of seeing a dark spot in the middle of his vision for approximately 2 months. His uncorrected visual acuity was 20/50 in the right eye and 20/20 in the left eye. The pinhole showed no improvement in the right eye. The external and slit lamp examinations were normal with normal papillary reaction and intraocular pressure. An Amsler grid test was performed which showed a small central scotoma in the right eye and normal left eye. The fundus exam showed a pigmented foveal cyst (green arrows) in the macula of right eye and mild RPE mottling in the left eye. The OCT scans show outer retinal cavitationÕs right worse than left. These findings suggested solar retinopathy. The patient denied looking at the sun but admitted looking at the reflected light from a laser pointer. He was informed that his vision may improve but may not be 20/20 in the right eye. He was asked to discard the laser light and to follow up in one year.