IF you are hit with a laser beam
“It is common for people to see a bright flash of light and think that they are injured when they really are not. The ophthalmologist has to be somewhat leery of what caused the injury. Was it caused by a laser? Or are you observing a visual anomaly that has been there all along? I recommend referring these patients to an ophthalmologist who has experience with this type of injury.” -- Laser injury expert Bruce Stuck, director of the U.S. Army Medical Research Detachment of the Walter Reed Army Institute of Research at Brooks Air Force Base.
The following recommendations are for persons who have had adverse vision effects after being hit in the eye by a laser beam, such as from a laser pointer, laser pen or laser light show. For pilots, please also see the page
”How to reduce incidents: For pilots”, which lists what you should do during and after a laser illumination.
Note that before going to a doctor, you may want to call police or relevant authorities if the incident was serious or poses a threat to others. For more information, see the
“To report an incident” page.
If you were at a laser light show
Professional laser light shows are intended to safely scan into the audience. At audience scanning shows there will be occasional “hits” to the eye, but as long as there is no afterimage, the light level should be safe.
If you experience uncomfortable light levels or long-lasting afterimages, you should take simple actions to avoid the direct laser beams. Fortunately, even in such a case of brighter shows, injury reports from continuous-wave lasers are extremely rare.
Three shows over the past decades have stupidly and illegally scanned pulsed lasers into audiences. This caused approximately 50 total injuries in the three incidents. However, all responsible laserists know that they must never use pulsed-type lasers for audience scanning.
There also has been a report of audience injuries, initially attributed to a laser show, which turned out to be due to irresponsible laser pointer misuse by audience members. If you are interested in this topic, much more information is available in a
paper about audience scanning.
For information about the safety of outdoor laser light shows (e.g., how shows operate to protect pilots’ vision), see the
ILDA page.
Don’t panic
If you were exposed in the eye to a direct laser beam, do not unduly worry. A beam in the eye may cause temporary flashblindness and afterimages. This is
not an injury. Instead, this is the eye’s normal response to overly bright light. It is similar to what happens after looking directly into a camera flash. The afterimage area looks like a blob if you looked directly at the light, or can look like separate spots or a line if the eye was moving during the exposure.
Afterimages take about 5 or 10 minutes to fade. If after this time the spots are still visible, you may have retinal damage. Fortunately, this often heals within a few days or weeks. This is similar to how your skin heals after getting a small cut or a bruise. Vision may return completely to normal, or you may have faint spots noticeable only under special conditions such as looking at a uniform white wall or blue sky. An Amsler Grid test can help in finding small lesions within 8-10 degrees of the fovea.
(Technically, afterimages are not injuries since they are caused by saturation of rhodopsin or "bleaching" in the outer segments of photoreceptors that results in a localized reduced sensitivity. An injury results in a minimally visible lesion which histologically involves the retinal pigmented epithelium and the photoreceptors.)
Self-test from the U.K. Civil Aviation Authority
The U.K. Civil Aviation Authority have produced an “Aviation Laser Exposure Self-Assessment”, to be used by persons exposed to laser light. The ALESA card is available in hard copy, and can also be
downloaded from CAA’s website. If downloaded, the Amsler Grid on the first page should be printed so it is 10 x 10 cm, or 4 x 4 in.
go here to see 12 more pages on this and the self-test
Laser Pointer Safety - What to do, if you are hit by a laser pointer or laser pen
attached are inserts that should be sent along with any sale- repair etc.