Evidence map›Paper›PMID 30546136›Full record

ReviewEye (London, England)2019

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

E Linton, A Walkden, L R Steeples, A Bhargava, C Williams, C Bailey, F M Quhill, S P Kelly

Open access · hybridAbstract readReview
In one paragraph

Review in Eye (London, England), 2019. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 12 papers.

0numbers the graph read from it
0cells of the map it votes in
12citing papers in PubMed
5.2field-weighted citation impact, top 4% of its field
1 · What the graph read from it

What it found

Each row is one number read from the abstract, on the scale the paper reported it, with its interval. Left of the dashed line favours the treatment, right favours the comparator. Under each row is the sentence it came from. New to these charts? A ten-minute tutorial.

The abstract states no effect estimate the extractor could read, or names no intervention and outcome on the map, so this paper lights no cell and moves no belief. It is still indexed, cited and linked below.

2 · The registry

The trial behind it

Trials whose registry record cites this paper, or whose number appears in the abstract. A trial that started after this paper was published is citing it as background, not reporting it.

Neither the registry nor the abstract names a trial number. If this is a trial report, that itself is worth knowing.

3 · Its place in the literature

Who cites it

12 citing papers in PubMed, 49 citations in OpenAlex.

  1. Article
  2. Article
  3. Article
  4. Review
  5. RETINAL BURNS IN PHOTIC RETINOPATHY: THREE CASE REPORTS.Annals of burns and fire disasters · 2024
    Article
  6. Article
  7. Article
  8. Observational
  9. Review
  10. Review
  11. Article
  12. Knowledge and attitude towards hazardous effects of laser pointers among attendees of football matches in Riyadh, Saudi Arabia.Saudi journal of ophthalmology : official journal of the Saudi Ophthalmological Society
    Article
4 · The record

Corrections and comments

PubMed lists nothing against this paper. Absence here is not a guarantee, only a check that was made.

5 · Who and what money

Authors and funding

8 authors at 5 institutions in 1 country.

E LintonDepartment of Ophthalmology, Bolton Hospitals NHS Foundation Trust, Bolton, UK.
A WalkdenDepartment of Ophthalmology, Lancashire Teaching Hospitals NHS Foundation Hospital, Preston, UK.
L R SteeplesBristol Eye Hospital, University Hospitals Bristol NHS Foundation Trust, Bristol, UK.
A BhargavaDepartment of Ophthalmology, Lancashire Teaching Hospitals NHS Foundation Hospital, Preston, UK.
C WilliamsBristol Eye Hospital, University Hospitals Bristol NHS Foundation Trust, Bristol, UK.
C BaileyBristol Eye Hospital, University Hospitals Bristol NHS Foundation Trust, Bristol, UK.
F M QuhillDepartment of Ophthalmology, Sheffield Teaching Hospitals NHS Foundation Trust, Sheffield, UK.
S P KellyDepartment of Ophthalmology, Bolton Hospitals NHS Foundation Trust, Bolton, UK. simon.kelly@boltonft.nhs.uk.
Bolton NHS Foundation Trust · GBLancashire Teaching Hospitals NHS Foundation Trust · GBUniversity Hospitals Bristol NHS Foundation Trust · GBBristol Eye Hospital · GBSheffield Teaching Hospitals NHS Foundation Trust · GB

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

objectiveTo explore self-inflicted retinal burns from laser pointers in children.

methodsLiterature 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.

resultsFour 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).

conclusionWe 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.

Indexed as

ChildConsumer Product SafetyEye BurnsHumansLasersPlay and PlaythingsPolicy MakingProblem BehaviorSelf-Injurious BehaviorUnited KingdomVision Disorders

Identifiers

PMID30546136
PMCPMC6460723
OpenAlexW2903927341

What OpenQuestion holds

Textmetadata
LicenceCC BY
Read underepoch 390

Registered trials

None linked

Read under generation 80e0d062 · epoch 390. Bibliography from PubMed, PubMed Central and OpenAlex; grants from NIH RePORTER; trial links from ClinicalTrials.gov; estimates, votes and beliefs from the OpenQuestion graph.