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

  • 1Department of Ophthalmology & Visual Science, College of Medicine, The Catholic University of Korea, Seoul, Korea. youngjungroh@hanmail.net


PURPOSE: To report a case of a macular hole resulting from accidental Nd:YAG laser capsulotomy for cataract, which was treated by vitrectomy.
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.
We experienced an unusual case of macular hole formation from Nd:YAG capsulotomy. Vitrectomy was performed but visual acuity improvement remained limited.


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

MeSH Terms

Retinal Perforations
Visual Acuity


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

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

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

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

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