title: Accidental Nd:YAG laser-induced choroidal neovascularization.
abstract: 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.
authors.affiliation: The Wilmer Eye Institute at The Johns Hopkins School of Medicine, 600 North Wolfe Street, Maumenee 721, Baltimore, Maryland 21287-9277, USA.
authors.forename: Howard S
authors.initials: HS
authors.lastname: Ying
authors.forename: Robert C A
authors.initials: RC
authors.lastname: Symons
authors.forename: Kristie L
authors.initials: KL
authors.lastname: Lin
authors.forename: Sharon D
authors.initials: SD
authors.lastname: Solomon
authors.forename: Peter L
authors.initials: PL
authors.lastname: Gehlbach
mesh_terms: 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
chemical_list: D017319:Photosensitizing Agents; D011166:Porphyrins; D000077362:Verteporfin