18 y male presented with recent diminution of vision on his right eye after an incidental recent exposure to a laser pointer toy, color photo revealex orange like foveal lesion that showed hyperflourescence with late staining in FFA, OCT revealed interruption of Ellipsoid zone and accumulation of hyperreflective material in the subfoveal region which represent outer segments debris.
These signs are charateristic of "Foveal Phototoxicity" secondary to laser pointer injuries, that could be seen also in solar (eclipse) maculopathy when both eyes are affected.
1. Acute retinal pigment epitheliitis that can complicate viral infections but it has specific fundus picture of pigmentary mottling with hyporeflective halo however a similar OCT picture to foveal phototoxicity could be seen.
2. Best vitelliform dystrophy which is a bilateral, nearly symmetrical foveal lesion with egg yolk like apperance that may give similar color and FFA picture but in OCT you can detect a similar hypereflective subfoveal lesion with or without serous detachment but without interruption of Ellipsoid zone unless in late atrophic stages