Spontaneous closure of a blue laser induced full thickness macular hole.
ACTA ACUST UNITED AC 2016;
92:29-32. [PMID:
27769554 DOI:
10.1016/j.oftal.2016.08.004]
[Citation(s) in RCA: 2] [Impact Index Per Article: 0.3] [Reference Citation Analysis] [Abstract] [Key Words] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Received: 04/07/2016] [Revised: 08/28/2016] [Accepted: 08/31/2016] [Indexed: 10/20/2022]
Abstract
CASE REPORT
A 14 year-old boy attended our clinic complaining of a scotoma after an accidental exposure to a 10W, 450nm laser beam from a blue-light handheld laser device. Optical coherence tomography confirmed a full thickness macular hole. As visual acuity (VA) remained 20/20 Snellen, observation was decided. Spontaneous closure was confirmed after one month.
DISCUSSION
Reckless use of high-power handheld laser devices may induce severe retinal lesions, including full thickness macular holes. Observation is a sensible treatment option in this type of macular hole, especially when VA is preserved. The pathophysiology of these cases differs from senile full thickness macular holes.
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