A traumatic macular hole secondary to a high-energy Nd:YAG laser.
A case is reported of a traumatic macular hole caused by a high-energy Nd:YAG laser. The initial ocular examination revealed an explosive, crater-shaped, full-thickness macular hole surrounded by local edema and detachment. By the 12th day after the injury, the hole had shrunk progressively and was covered by a thin fibrin-like membrane. A thick epiretinal membrane covered the injured area 1 month after the injury. Nine months after the injury, the macular hole closed spontaneously with a partially detached epiretinal membrane. This case demonstrates one of the natural healing processes of a traumatic macular hole. Although the hole finally closed, the patient did not regain his vision because of the severe damage to the photoreceptors, retinal pigment epithelium, and choroid.
Chuang
L H
LH
Department of Ophthalmology, Chang Gung Memorial Hospital, Keelung, Taiwan.
Lai
C C
CC
Yang
K J
KJ
Chen
T L
TL
Ku
W C
WC
D000328:Adult; D019773:Epiretinal Membrane / Q000209:etiology; D005131:Eye Injuries / Q000209:etiology* / Q000473:pathology; D006801:Humans; D007834:Lasers / Q000009:adverse effects*; D008297:Male; D012160:Retina / Q000293:injuries* / Q000473:pathology; D012163:Retinal Detachment / Q000209:etiology; D012167:Retinal Perforations / Q000209:etiology* / Q000473:pathology; D014792:Visual Acuity; D014945:Wound Healing