A traumatic macular hole secondary to a high-energy Nd:YAG laser
Chuang, L.H.; Lai, C.C.; Yang, K.J.; Chen, T.L.; Ku, W.C.
Ophthalmic Surgery and Lasers 32(1): 73-76
2001
ISSN/ISBN: 1082-3069 PMID: 11195748 Document Number: 535662
A case is reported of a traumatic macular hole caused by a high-energy Nd:YAG laser. The initial ocular examination revealed an explosive, crater-shaped, full-thickness macular hole surrounded by local edema and detachment. By the 12th day after the injury, the hole had shrunk progressively and was covered by a thin fibrin-like membrane. A thick epiretinal membrane covered the injured area 1 month after the injury. Nine months after the injury, the macular hole closed spontaneously with a partially detached epiretinal membrane. This case demonstrates one of the natural healing processes of a traumatic macular hole. Although the hole finally closed, the patient did not regain his vision because of the severe damage to the photoreceptors, retinal pigment epithelium, and choroid.