Acute macular hole and retinal detachment in highly myopic eyes after neodymium:YAG laser capsulotomy.
We report 2 cases of acute onset of macular hole and retinal detachment (MHRD) in highly myopic eyes after uneventful neodymium:YAG (Nd:YAG) laser posterior capsulotomy. Case 1 was a 76-year-old highly myopic woman who had decreased vision 4 days after Nd:YAG capsulotomy. Macular hole and retinal detachment were detected, and vitrectomy was performed. Case 2 was a 62-year-old highly myopic woman who reported visual loss 1 week after Nd:YAG capsulotomy. Macular hole and retinal detachment were detected, and vitrectomy was performed and the retina reattached. The developmental mechanisms of MHRD after Nd:YAG capsulotomy are discussed.
Sakimoto
Susumu
S
Department of Ophthalmology, Osaka National Hospital, 2-1-14 Hoenzaka, Chuoku, Osaka, Japan. sakimoto@onh.go.jp
Saito
Yoshihiro
Y
D000208:Acute Disease; D000368:Aged; D002386:Cataract / Q000628:therapy*; D005260:Female; D006801:Humans; D053844:Lasers, Solid-State / Q000009:adverse effects*; D007903:Lens Capsule, Crystalline / Q000601:surgery*; D019654:Lens Implantation, Intraocular; D008875:Middle Aged; D047728:Myopia, Degenerative / Q000150:complications*; D018918:Phacoemulsification; D011183:Postoperative Complications; D012163:Retinal Detachment / Q000209:etiology* / Q000601:surgery; D012167:Retinal Perforations / Q000209:etiology* / Q000601:surgery; D014821:Vitrectomy