{"status":"ok","message-type":"work","message-version":"1.0.0","message":{"indexed":{"date-parts":[[2026,7,4]],"date-time":"2026-07-04T18:16:18Z","timestamp":1783188978857,"version":"3.54.6"},"reference-count":10,"publisher":"Oxford University Press (OUP)","issue":"7-8","license":[{"start":{"date-parts":[[2025,8,29]],"date-time":"2025-08-29T00:00:00Z","timestamp":1756425600000},"content-version":"vor","delay-in-days":0,"URL":"https:\/\/academic.oup.com\/pages\/standard-publication-reuse-rights"}],"content-domain":{"domain":[],"crossmark-restriction":false},"short-container-title":[],"published-print":{"date-parts":[[2026,7,1]]},"abstract":"<jats:title>Abstract<\/jats:title>\n                  <jats:p>Laser exposure is known to pose a significant risk to ocular structures and has been associated with severe retinal injuries. This report describes the case of a 21-year-old French paratrooper who sustained a photo-induced injury to his left eye following accidental exposure to a modified Class 3R laser during a military operation. The laser exposure occurred at close range (approximately 1 m) and resulted in an immediate central visual field defect. Initial ophthalmologic evaluation revealed macular damage characterized by a central scar. Over the following three years, the patient underwent regular clinical assessments, including optical coherence tomography (OCT). These evaluations documented a progressive decline in visual function and structural changes in the retina. OCT imaging showed thickening of the retinal pigment epithelium and elongation of photoreceptors, indicating worsening macular pathology. By the end of the three-year follow-up, the patient experienced a significant reduction in visual acuity. This case highlights the long-term consequences of laser-induced maculopathy and the need for preventive measures in the military.<\/jats:p>","DOI":"10.1093\/milmed\/usaf434","type":"journal-article","created":{"date-parts":[[2025,8,18]],"date-time":"2025-08-18T11:19:30Z","timestamp":1755515970000},"page":"e1722-e1725","source":"Crossref","is-referenced-by-count":1,"title":["Long-Term Visual Impairment From a Military Weapon Laser: A Case Study of a French Soldier"],"prefix":"10.1093","volume":"191","author":[{"given":"Oriane","family":"Robert","sequence":"first","affiliation":[{"name":"B\u00e9gin Military Hospital , Saint Mand\u00e9, 94160,","place":["France"]}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Jean-R\u00e9mi","family":"Fenolland","sequence":"additional","affiliation":[{"name":"B\u00e9gin Military Hospital , Saint Mand\u00e9, 94160,","place":["France"]},{"name":"Ecole du Val de Grace, Paris, 75005,","place":["France"]}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Amira","family":"Chaher","sequence":"additional","affiliation":[{"name":"B\u00e9gin Military Hospital , Saint Mand\u00e9, 94160,","place":["France"]}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Jean-Marie","family":"Giraud","sequence":"additional","affiliation":[{"name":"B\u00e9gin Military Hospital , Saint Mand\u00e9, 94160,","place":["France"]},{"name":"Ecole du Val de Grace, Paris, 75005,","place":["France"]}],"role":[{"vocabulary":"crossref","role":"author"}]}],"member":"286","published-online":{"date-parts":[[2025,8,29]]},"reference":[{"key":"2026070413280840400_usaf434-B1","doi-asserted-by":"crossref","first-page":"749","DOI":"10.1111\/aos.13856","article-title":"Laser pointer maculopathy\u2014on the rise?","volume":"96","author":"Torp-Pedersen","year":"2018","journal-title":"Acta Ophthalmol (Copenh)"},{"key":"2026070413280840400_usaf434-B2","first-page":"831","article-title":"Retinal injury following laser pointer exposure","volume":"114","author":"Birtel","year":"2017","journal-title":"Dtsch Arzteblatt Int"},{"key":"2026070413280840400_usaf434-B3","doi-asserted-by":"publisher","first-page":"566","DOI":"10.1016\/j.ophtha.2013.09.006","article-title":"High-power handheld blue laser-induced maculopathy: the results of the King Khaled Eye Specialist Hospital Collaborative Retina Study Group","volume":"121","author":"Alsulaiman","year":"2014","journal-title":"Ophthalmology"},{"key":"2026070413280840400_usaf434-B4","doi-asserted-by":"publisher","first-page":"177","DOI":"10.1097\/ICB.0000000000001374","article-title":"The evolution of full-thickness macular hole after short exposure to high-powered handheld laser pointer","volume":"18","author":"Keshet","year":"2024","journal-title":"Retin Cases Brief Rep"},{"key":"2026070413280840400_usaf434-B5","doi-asserted-by":"publisher","first-page":"102118","DOI":"10.1016\/j.ajoc.2024.102118","article-title":"Branch retinal artery occlusion from laser pointer misuse","volume":"36","author":"Gebara","year":"2024","journal-title":"Am J Ophthalmol Case Rep"},{"key":"2026070413280840400_usaf434-B6","doi-asserted-by":"publisher","first-page":"2445","DOI":"10.1111\/jocd.14412","article-title":"Laser-induced macular neovascularization following accidental exposure to Alexandrite laser and excellent response to anti-VEGF: a case report","volume":"21","author":"Alizadeh","year":"2022","journal-title":"J Cosmet Dermatol"},{"key":"2026070413280840400_usaf434-B7","doi-asserted-by":"publisher","first-page":"68","DOI":"10.1159\/000529297","article-title":"Long-term outcomes following intravitreal ranibizumab for choroidal neovascularization related to Nd: YAG laser macular injury: a case report","volume":"14","author":"Christodoulou","year":"2023","journal-title":"Case Rep Ophthalmol"},{"key":"2026070413280840400_usaf434-B8","doi-asserted-by":"publisher","first-page":"49","DOI":"10.1186\/s12886-017-0448-924","article-title":"Damage to the macula associated with LED-derived blue laser exposure: a case report","volume":"17","author":"Liang","year":"2017","journal-title":"BMC Ophthalmol"},{"key":"2026070413280840400_usaf434-B9","first-page":"61","article-title":"Exposition accidentelle aux lasers. Oeil et rayonnements, De la pathologie \u00e0 la protection","author":"Giraud","year":"2023","journal-title":"Med-Line"},{"key":"2026070413280840400_usaf434-B10","author":"Convention on Certain Conventional Weapons"}],"container-title":["Military Medicine"],"original-title":[],"language":"en","link":[{"URL":"https:\/\/academic.oup.com\/milmed\/article-pdf\/191\/7-8\/e1722\/64162811\/usaf434.pdf","content-type":"application\/pdf","content-version":"vor","intended-application":"syndication"},{"URL":"https:\/\/academic.oup.com\/milmed\/article-pdf\/191\/7-8\/e1722\/64162811\/usaf434.pdf","content-type":"unspecified","content-version":"vor","intended-application":"similarity-checking"}],"deposited":{"date-parts":[[2026,7,4]],"date-time":"2026-07-04T17:28:11Z","timestamp":1783186091000},"score":1,"resource":{"primary":{"URL":"https:\/\/academic.oup.com\/milmed\/article\/191\/7-8\/e1722\/8244220"}},"subtitle":[],"short-title":[],"issued":{"date-parts":[[2025,8,29]]},"references-count":10,"journal-issue":{"issue":"7-8","published-online":{"date-parts":[[2025,8,29]]},"published-print":{"date-parts":[[2026,7,1]]}},"URL":"https:\/\/doi.org\/10.1093\/milmed\/usaf434","relation":{},"ISSN":["0026-4075","1930-613X"],"issn-type":[{"value":"0026-4075","type":"print"},{"value":"1930-613X","type":"electronic"}],"subject":[],"published-other":{"date-parts":[[2026,7]]},"published":{"date-parts":[[2025,8,29]]}}}