title: Demarcation laser photocoagulation induced retinal necrosis and rupture resulting in large retinal tear formation.
abstract: Retinal tears after laser photocoagulation are a rare complication that occurs after intense laser. It is talked about among retina specialist occurring particularly at the end of a surgical case while applying endophotocoagulation; to the best our knowledge, there are no reports in the literature of a large retinal tear induced after attempted in-office demarcation laser photocoagulation (DLP) that simulated a giant retinal tear. DLP has been employed in the management of selected cases of macula sparring rhegmatogenous retinal detachment (RRD). Even though extension of the retinal detachment through the "laser barrier" is considered a failure of treatment, few complications have been described with the use of this less invasive retinal detachment repair technique. We describe a case of a high myopic woman who initially was treated with demarcation laser photocoagulation for an asymptomatic retinal detachment associated with a single horseshoe tear and a full thickness large retinal tear was created where the laser was placed. Intense laser photocoagulation resulted in abrupt laser induced retinal necrosis and rupture creating this large retinal break. Proper laser technique should reduce the risks associated with this procedure.
authors.affiliation: California Retina Consultants and Research Foundation, Santa Barbara, CA, United States; Instituto de Oftalmología "Fundación Conde de Valenciana", Mexico City, Mexico. Electronic address: quezadarc@hotmail.com.
authors.forename: Carlos
authors.initials: C
authors.lastname: Quezada
authors.affiliation: California Retina Consultants and Research Foundation, Santa Barbara, CA, United States.
authors.forename: Dante J
authors.initials: DJ
authors.lastname: Pieramici
authors.affiliation: Instituto de Oftalmología "Fundación Conde de Valenciana", Mexico City, Mexico.
authors.forename: Rodrigo
authors.initials: R
authors.lastname: Matsui
authors.affiliation: California Retina Consultants and Research Foundation, Santa Barbara, CA, United States.
authors.forename: Melvin
authors.initials: M
authors.lastname: Rabena
authors.affiliation: Instituto de Oftalmología "Fundación Conde de Valenciana", Mexico City, Mexico.
authors.forename: Federico
authors.initials: F
authors.lastname: Graue
mesh_terms: D005260:Female; D006801:Humans; D008028:Light Coagulation / Q000009:adverse effects*; D008875:Middle Aged; D012163:Retinal Detachment / Q000209:etiology*; D012167:Retinal Perforations / Q000209:etiology*
keywords: Laser; Photocoagulation; Retinal detachment; Retinal tear