J Korean Ophthalmol Soc.  2008 Apr;49(4):691-695. 10.3341/jkos.2008.49.4.691.

A Case of Macular Hole After Nd:YAG Laser Capsulotomy

• Kim IT
• Roh YJ

• KMID: 2211505
• DOI: http://doi.org/10.3341/jkos.2008.49.4.691

Abstract

PURPOSE: To report a case of a macular hole resulting from accidental Nd:YAG laser capsulotomy for cataract, which was treated by vitrectomy.
CASE SUMMARY
A 70-year-old man had decreased visual acuity one day after Nd:YAG laser capsulotomy. By fundus exam, vitreous and macular hemorrhages were observed. After 11 days, intravitreal gas injection was performed, and 3 months later, a macular hole has developed. Pars plana vitrectomy, internal limiting membrane peeling, and gas tamponade were performed, and anatomical occlusion was achieved and maintained for 6 months postoperatively. However, final visual acuity improvement was limited up to 0.08.
CONCLUSIONS
We experienced an unusual case of macular hole formation from Nd:YAG capsulotomy. Vitrectomy was performed but visual acuity improvement remained limited.

Keyword

Nd:YAG laser; Macular hole; Nd:Yag laser complication

MeSH Terms

Aged
Cataract
Hemorrhage
Humans
Membranes
Retinal Perforations
Visual Acuity
Vitrectomy

Figure

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  Figure 1. Fundus photograph (A) and OCT (B) findings at the first day after Nd:YAG capsulotomy show subretinal, retinal, and vitreous hemorrhage.

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  Figure 2. At 3 months after Nd:YAG laser capsulotomy, full-thickness macular hole has developed.

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  Figure 3. Images captured during vitrectomy. Intraoperative image showing macular hole with foveal hemorrhage (A) and intraoperative image after internal limiting membrane peeling (B).

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  Figure 4. At 3 months after vitrectomy, anatomical closure of the macular hole was achieved.

Reference

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