A 34-year-old electronics technician with a macular hole caused by a Neodymium (Nd):YAG laser injury underwent follow up with optical coherence tomography for 1 year. Optical coherence tomography showed a defect in all retinal layers at the macula center, with rectified and perpendicularly orientated borders to the retinal pigment epithelium. One year postinjury, the hole dimensions increased, and optical coherence tomography disclosed less evident rectified borders. After 1 year of follow up, the optical coherence tomography characteristics of a traumatic Nd:YAG laser macular hole can change, looking similar to a senile idiopathic hole. [Ophthalmic Surg Lasers Imaging 2003:34:57-59]
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