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Proceedings Paper

Longitudinal evaluation of selected human laser eye accident cases
Author(s): Harry Zwick; Bruce E. Stuck; David K. Scales; Jeremiah Brown M.D.; James W. Ness
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Paper Abstract

Two Q-switched military accident cases involving foveal retinal damage were followed for at least two years with a variety of morphological and functional diagnostic techniques. Both cases demonstrated remarkable recovery of visual acuity and contrast sensitivity within 1 to 4 months post exposure. Early deficits in visual acuity, sine wave contrast sensitivity, various measures of color vision, and focal electrophysiological measures all showed remarkable recovery. With the use of a scanning laser ophthalmoscope (SLO), we were able to further evaluate the retinal preference threshold contrast targets and found that small targets requiring foveal resolution were initially placed superior and slightly temporal to the damaged fovea in these eyes, even though visual acuity in these eyes was 20/15 or better. In one of these cases, a return to foveal functionality was demonstrated even though the fovea appeared lightly scarred small test targets were placed at its center for detection. In the second case, the PRL stayed superior temporal. Attempts to force target resolution in this area were unsuccessful. These findings suggest a more active role of neural retinal plasticity in the damage recovery process as well as caution in assuming that all such injuries will exhibit such plasticity.

Paper Details

Date Published: 18 June 1999
PDF: 8 pages
Proc. SPIE 3591, Ophthalmic Technologies IX, (18 June 1999); doi: 10.1117/12.350601
Show Author Affiliations
Harry Zwick, Walter Reed Army Institute of Research (United States)
Bruce E. Stuck, Walter Reed Army Institute of Research (United States)
David K. Scales, Uveitis and Retinal Association of Texas (United States)
Jeremiah Brown M.D., Walter Reed Army Institute of Research (United States)
James W. Ness, Walter Reed Army Institute of Research (United States)

Published in SPIE Proceedings Vol. 3591:
Ophthalmic Technologies IX
Bruce E. Stuck; Pascal O. Rol; Michael Belkin M.D.; Karen Margaret Joos M.D.; Fabrice Manns; Bruce E. Stuck; Michael Belkin M.D., Editor(s)

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