Laser-induced macular neovascularization following accidental exposure to Alexandrite laser and excellent response to anti-VEGF: A case report.

Abstract

OBJECTIVES\nThis study aimed to report a case of laser-induced macular neovascularization (MVN) following accidental exposure to Alexandrite laser.\n\n\nMETHODS\nA young female presented with a painless visual blurring of the right eye 25\xa0days after direct inadvertent exposure to a single discharge from a 750-nm Alexandrite hair removal procedure. The best-corrected visual acuity (BCVA) of the right eye was finger count 3\xa0m (M). Ophthalmoscopic findings, spectral-domain optical coherence tomography (SD-OCT), fluorescein angiography, and optical coherence tomography angiography were evaluated.\n\n\nRESULTS\nFundus examination of the right eye revealed intraretinal hemorrhage and a round yellow-grayish subretinal lesion just beneath the fovea. SD-OCT of the right eye showed retinal thickening, subretinal hyperreflective lesion, subretinal and mild intraretinal fluid, and a small retinal pigment epithelium defect beneath the fovea. Optical coherence tomography angiography demonstrated MNV type 2. After the administration of intravitreal injection of three monthly anti-vascular endothelial growth factor, BCVA improved to 20/20.