Introduction: Photic retinopathy is a rare condition that typically occurs due to prolonged exposure to intense light sources. This case report presents a unique instance of photic retinopathy resulting from accidental exposure to alexandrite laser.
Case presentation: A twenty-year-old female with no prior medical history experienced immediate vision loss in her left eye after unintentional self-exposure to an Alexandrite laser. Diagnostic imaging revealed a yellowish macular spot surrounded by a pigment halo on colored fundus photography, disrupted retinal layers on Optical Coherence Tomography (OCT), and occult choroidal neovascularization on Optical Coherence Tomography-Angiography (OCT-A), indicating significant macular damage. Various treatment strategies were employed to prevent further progression and improve vision.
Conclusion: This paper highlights a rare side effect of Alexandrite laser exposure detected using OCT-A. Early diagnosis and management, including intravitreal aflibercept injection, were crucial in achieving favorable visual outcomes. The implementation of specific protective measures is essential for preventing photic retinopathy