A Case of Macular Hole after Exposure to Tattoo Removal by Q-Switched Neodymium:YAG Laser.
10.3341/jkos.2011.52.3.373
- Author:
Deok Bae KIM
1
;
Mu O JUNG
;
Dong Won LEE
;
Gwang Ju CHOI
;
Dae Hyun KIM
Author Information
1. Happy Eye Clinic, Gwangju, Korea.
- Publication Type:Case Report
- Keywords:
Macular hole;
Q-Switched Nd:YAG laser;
Silicone oil;
Tattoo;
Vitrectomy
- MeSH:
Adult;
Humans;
Macular Edema;
Retinal Perforations;
Silicone Oils;
Visual Acuity;
Vitrectomy;
Vitreous Hemorrhage
- From:Journal of the Korean Ophthalmological Society
2011;52(3):373-377
- CountryRepublic of Korea
- Language:Korean
-
Abstract:
PURPOSE: To report a case of a macular hole resulting from accidental exposure to tattoo removal by the Q-Switched Nd:YAG laser, which was treated successfully by vitrectomy and silicone oil infusion. CASE SUMMARY: A 33-year-old man presented with decreased visual acuity after accidental exposure to a Q-Switched Nd:YAG laser. According to fundus examination, vitreous hemorrhage and macular edema were observed. After 21 days, a macular hole had developed which was treated by standard pars plana vitrectomy and gas tamponade. Unfortunately, closure was not obtained on the first attempt. Therefore, a second attempt using silicone oil infusion was performed. Four months after the initial visit, BCVA had increased to 20/50, and anatomical occlusion was achieved. CONCLUSIONS: The authors of the present study experienced an unusual case of macular hole developed from the Q-Switched Nd:YAG laser used to remove a tattoo. A satisfactory visual acuity was achieved after silicone oil infusion despite failure in the first surgery.
