A Case of Macular Hole After Nd:YAG Laser Capsulotomy.
10.3341/jkos.2008.49.4.691
- Author:
In Tae KIM
1
;
Young Jung ROH
Author Information
1. Department of Ophthalmology & Visual Science, College of Medicine, The Catholic University of Korea, Seoul, Korea. youngjungroh@hanmail.net
- Publication Type:Case Report
- Keywords:
Nd:YAG laser;
Macular hole;
Nd:Yag laser complication
- MeSH:
Aged;
Cataract;
Hemorrhage;
Humans;
Membranes;
Retinal Perforations;
Visual Acuity;
Vitrectomy
- From:Journal of the Korean Ophthalmological Society
2008;49(4):691-695
- CountryRepublic of Korea
- Language:Korean
-
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.
