Femtosecond laser can cause choroidal rupture.
OBJECTIVE
Many studies have found that it is very difficult to create choroidal lesions using a femtosecond laser. However, a patient with a premacular hemorrhage in the left eye and a choroidal rupture in the right eye from exposure to reflection of a femtosecond laser from a metal is described.


METHODS
The patient was treated with intravitreal expansile gas to displace the premacular blood in the left eye on posttrauma day 2.


METHODS
A 51-year-old man presented with blind spots in both eyes after being exposed to reflection of a femtosecond laser from a metal.


RESULTS
At the 10-week follow-up, the patient's vision improved to 20/40 (20/30 with a pinhole in the left eye).


CONCLUSIONS
This case suggests that choroidal rupture may occur with use of a femtosecond laser system.
From the Department of Ophthalmology, Ajou University Hospital, Suwon, Republic of Korea.
Ki Hwang
KH
Lee
Ho Min
HM
Lew
Hong Seok
HS
Yang