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Retinal burns from laser pointers: a risk in children with behavioural problems

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Retinal burns from laser pointers : a risk in children with behavioural problems. / Linton, Emma; Walkden, Andrew; Steeples, Laura R.; Bhargava, Anna; Williams, Cathy E M; Bailey, Clare; Quhill, Fahd; Kelly, Simon.

In: Eye, Vol. 33, 13.12.2018, p. 492-504.

Research output: Contribution to journalArticle

Harvard

Linton, E, Walkden, A, Steeples, LR, Bhargava, A, Williams, CEM, Bailey, C, Quhill, F & Kelly, S 2018, 'Retinal burns from laser pointers: a risk in children with behavioural problems', Eye, vol. 33, pp. 492-504. https://doi.org/10.1038/s41433-018-0276-z

APA

Linton, E., Walkden, A., Steeples, L. R., Bhargava, A., Williams, C. E. M., Bailey, C., ... Kelly, S. (2018). Retinal burns from laser pointers: a risk in children with behavioural problems. Eye, 33, 492-504. https://doi.org/10.1038/s41433-018-0276-z

Vancouver

Linton E, Walkden A, Steeples LR, Bhargava A, Williams CEM, Bailey C et al. Retinal burns from laser pointers: a risk in children with behavioural problems. Eye. 2018 Dec 13;33:492-504. https://doi.org/10.1038/s41433-018-0276-z

Author

Linton, Emma ; Walkden, Andrew ; Steeples, Laura R. ; Bhargava, Anna ; Williams, Cathy E M ; Bailey, Clare ; Quhill, Fahd ; Kelly, Simon. / Retinal burns from laser pointers : a risk in children with behavioural problems. In: Eye. 2018 ; Vol. 33. pp. 492-504.

Bibtex

@article{bcf7fa7207ab4f7a8688d733a6f2a1d8,
title = "Retinal burns from laser pointers: a risk in children with behavioural problems",
abstract = "OBJECTIVE: To explore self-inflicted retinal burns from laser pointers in children.METHODS: Literature review of laser pointer retinal injuries in childhood and online survey of UK Consultant Ophthalmologists. A cohort of local children with self-inflicted injury is described. The matter is topical. We review progress in recent legislation and policy change in the UK.RESULTS: Four of 77 case reports of laser burns in childhood analysed reported psychological or behavioural issues. Three of four children in our cohort had such issues. Delay in diagnosis occurred in two of our patients. Structural retinal damage persisted for over 12 months in all four children (seven eyes). Our survey of UK ophthalmologists found 159 cases of injury (85{\%} male), 80{\%} under 20 years of age. The majority of the laser pointers were purchased online. Many patients (36{\%}) suffered moderate vision loss (6/18 to 6/60 Snellen), while 17{\%} (at least 11 patients) suffered severe vision loss (<6/60 Snellen).CONCLUSION: We highlight the risk of macular damage and vision loss from handheld lasers specifically in children with behavioural, learning or mental health issues. The diagnosis may be difficult or delayed in such children. In children with uncertain macular changes, ophthalmologists should explore the history for possible instances of exposure to handheld lasers pointers. Regulatory authorities and manufacturers of handheld lasers need to be aware of the risk to children. Furthermore, there is a need to better inform parents, carers and teachers of the risk of ocular self-injury from such lasers pointers.",
author = "Emma Linton and Andrew Walkden and Steeples, {Laura R.} and Anna Bhargava and Williams, {Cathy E M} and Clare Bailey and Fahd Quhill and Simon Kelly",
year = "2018",
month = "12",
day = "13",
doi = "10.1038/s41433-018-0276-z",
language = "English",
volume = "33",
pages = "492--504",
journal = "Eye",
issn = "0950-222X",
publisher = "Springer Nature",

}

RIS - suitable for import to EndNote

TY - JOUR

T1 - Retinal burns from laser pointers

T2 - a risk in children with behavioural problems

AU - Linton, Emma

AU - Walkden, Andrew

AU - Steeples, Laura R.

AU - Bhargava, Anna

AU - Williams, Cathy E M

AU - Bailey, Clare

AU - Quhill, Fahd

AU - Kelly, Simon

PY - 2018/12/13

Y1 - 2018/12/13

N2 - OBJECTIVE: To explore self-inflicted retinal burns from laser pointers in children.METHODS: Literature review of laser pointer retinal injuries in childhood and online survey of UK Consultant Ophthalmologists. A cohort of local children with self-inflicted injury is described. The matter is topical. We review progress in recent legislation and policy change in the UK.RESULTS: Four of 77 case reports of laser burns in childhood analysed reported psychological or behavioural issues. Three of four children in our cohort had such issues. Delay in diagnosis occurred in two of our patients. Structural retinal damage persisted for over 12 months in all four children (seven eyes). Our survey of UK ophthalmologists found 159 cases of injury (85% male), 80% under 20 years of age. The majority of the laser pointers were purchased online. Many patients (36%) suffered moderate vision loss (6/18 to 6/60 Snellen), while 17% (at least 11 patients) suffered severe vision loss (<6/60 Snellen).CONCLUSION: We highlight the risk of macular damage and vision loss from handheld lasers specifically in children with behavioural, learning or mental health issues. The diagnosis may be difficult or delayed in such children. In children with uncertain macular changes, ophthalmologists should explore the history for possible instances of exposure to handheld lasers pointers. Regulatory authorities and manufacturers of handheld lasers need to be aware of the risk to children. Furthermore, there is a need to better inform parents, carers and teachers of the risk of ocular self-injury from such lasers pointers.

AB - OBJECTIVE: To explore self-inflicted retinal burns from laser pointers in children.METHODS: Literature review of laser pointer retinal injuries in childhood and online survey of UK Consultant Ophthalmologists. A cohort of local children with self-inflicted injury is described. The matter is topical. We review progress in recent legislation and policy change in the UK.RESULTS: Four of 77 case reports of laser burns in childhood analysed reported psychological or behavioural issues. Three of four children in our cohort had such issues. Delay in diagnosis occurred in two of our patients. Structural retinal damage persisted for over 12 months in all four children (seven eyes). Our survey of UK ophthalmologists found 159 cases of injury (85% male), 80% under 20 years of age. The majority of the laser pointers were purchased online. Many patients (36%) suffered moderate vision loss (6/18 to 6/60 Snellen), while 17% (at least 11 patients) suffered severe vision loss (<6/60 Snellen).CONCLUSION: We highlight the risk of macular damage and vision loss from handheld lasers specifically in children with behavioural, learning or mental health issues. The diagnosis may be difficult or delayed in such children. In children with uncertain macular changes, ophthalmologists should explore the history for possible instances of exposure to handheld lasers pointers. Regulatory authorities and manufacturers of handheld lasers need to be aware of the risk to children. Furthermore, there is a need to better inform parents, carers and teachers of the risk of ocular self-injury from such lasers pointers.

U2 - 10.1038/s41433-018-0276-z

DO - 10.1038/s41433-018-0276-z

M3 - Article

VL - 33

SP - 492

EP - 504

JO - Eye

JF - Eye

SN - 0950-222X

ER -