title: Spontaneous closure of a blue laser induced full thickness macular hole.
abstract: METHODS
  A 14 year-old boy attended our clinic complaining of a scotoma after an accidental exposure to a 10W, 450nm laser beam from a blue-light handheld laser device. Optical coherence tomography confirmed a full thickness macular hole. As visual acuity (VA) remained 20/20 Snellen, observation was decided. Spontaneous closure was confirmed after one month.
  
  
  CONCLUSIONS
  Reckless use of high-power handheld laser devices may induce severe retinal lesions, including full thickness macular holes. Observation is a sensible treatment option in this type of macular hole, especially when VA is preserved. The pathophysiology of these cases differs from senile full thickness macular holes.
authors: Servicio de Oftalmología, Hospital Universitario Ramón y Cajal, Madrid, España.
authors: L
authors: L
authors: Porrúa
authors: Servicio de Oftalmología, Hospital Universitario Ramón y Cajal, Madrid, España.
authors: N
authors: N
authors: Oblanca
authors: Servicio de Oftalmología, Hospital Universitario Ramón y Cajal, Madrid, España. Electronic address: juliojose.gonzalez@live.com.
authors: J J
authors: JJ
authors: González-López
mesh_terms: D000059:Accidents; D000293:Adolescent; D004868:Equipment Failure; D006801:Humans; D007834:Lasers / Q000009:adverse effects*; D008266:Macula Lutea / Q000293:injuries*; D008297:Male; D012075:Remission, Spontaneous; D012167:Retinal Perforations / Q000209:etiology* / Q000503:physiopathology; D012607:Scotoma / Q000209:etiology; D041623:Tomography, Optical Coherence; D014945:Wound Healing
keywords: Agujero macular; Autofluorescence; Autofluorescencia; Full thickness macular hole; Laser; Láser; Maculopatía fótica; Optical coherence tomography; Photic maculophaty; Tomografía de coherencia óptica