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Choroidal neovascularization after accidental macular damage by laser

A 30‐year‐old male physics professor was examined 2 months afterbeing accidentally hit by a laser beam in his left eye. He complainedof abrupt vision loss and central scotoma after the laser accident,with stabilization of the vision thereafter. At presentation, hepresented best‐corrected visual acuity of 6/18 in the lefteye. Fundoscopy disclosed a slightly elevated foveal brownish lesion,surrounded by a subtle subretinal haemorrhage. Fluorescein angiographydemonstrated a hyperfluorescent foveal lesion with stainingand a slight leakage in the late phase, characterizing a fibrovascularchoroidal neovascularization (CNV). Optical coherence tomography showeda discrete increase in retinal thickness and a subretinalfibrotic CNV. Visual acuity remained stable during the follow up(4 months). CNV after laser injury is rare. The evolutionof this case suggests that CNV, after an accidental laser injury,in a healthy macula of a young patient might have a self‐limitedcourse and a relatively good prognosis.