Accidental Nd:YAG laser-induced choroidal neovascularization.
BACKGROUND
There are few reports in the literature to describe the natural history of an occupational Nd:YAG laser-induced retinal injury.


METHODS
The chronological response to a Nd:YAG laser-induced injury was studied in a 48-year-old male using the techniques of color fundus photography, fluorescein angiography and optical coherence tomography. When he developed choroidal neovascularization his response to photodynamic therapy with verteporfin was recorded.


RESULTS
The patient initially developed a macular hole, which spontaneously closed. Three months after the injury a choroidal neovascular membrane developed. This stabilized after the use of photodynamic therapy.


CONCLUSIONS
Surgical closure of Nd:YAG induced macular holes should be delayed to allow spontaneous closure. Photodynamic therapy was successful in treating choroidal neovascularization in this case.
Ying
Howard S
HS
The Wilmer Eye Institute at The Johns Hopkins School of Medicine, 600 North Wolfe Street, Maumenee 721, Baltimore, Maryland 21287-9277, USA.
Symons
Robert C A
RC
Lin
Kristie L
KL
Solomon
Sharon D
SD
Gehlbach
Peter L
PL
D000062:Accidents, Occupational; D002829:Choroid / Q000293:injuries*; D020256:Choroidal Neovascularization / Q000175:diagnosis / Q000188:drug therapy / Q000209:etiology*; D005451:Fluorescein Angiography; D006801:Humans; D007834:Lasers / Q000009:adverse effects*; D008266:Macula Lutea / Q000098:blood supply / Q000293:injuries; D008297:Male; D008875:Middle Aged; D010778:Photochemotherapy; D017319:Photosensitizing Agents / Q000627:therapeutic use; D011166:Porphyrins / Q000627:therapeutic use; D012607:Scotoma; D041623:Tomography, Optical Coherence; D000077362:Verteporfin; D014792:Visual Acuity
D017319:Photosensitizing Agents; D011166:Porphyrins; D000077362:Verteporfin