2001
DOI: 10.3928/1542-8877-20010101-14
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A Traumatic Macular Hole Secondary to a High-Energy Nd:YAG Laser

Abstract: Abstract. A case is reported of a traumatic macular hole caused by a high-energy Nd:YAG laser. The initial ocular examination revealed an explosive, cratershaped, 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 de… Show more

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Cited by 26 publications
(4 citation statements)
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“…In addition, though the modified CTR had improved surface hydrophilicity and roughness to inhibit cell adhesion and proliferation in vitro , they showed ignorable effect in ex-vivo , but at least they wouldn't promote cell adhesion and proliferation. Reports showed that under the focusing function of the eye lens, the laser will be concentrated into a very small spot on the retina, and the retinal photoreceptor cells can be destroyed by an instantaneous increase of 10 °C [33] . At the same time, the eye will focus the NIR light on the retina.…”
Section: Resultsmentioning
confidence: 99%
“…In addition, though the modified CTR had improved surface hydrophilicity and roughness to inhibit cell adhesion and proliferation in vitro , they showed ignorable effect in ex-vivo , but at least they wouldn't promote cell adhesion and proliferation. Reports showed that under the focusing function of the eye lens, the laser will be concentrated into a very small spot on the retina, and the retinal photoreceptor cells can be destroyed by an instantaneous increase of 10 °C [33] . At the same time, the eye will focus the NIR light on the retina.…”
Section: Resultsmentioning
confidence: 99%
“…Such complications that can occur when using laser-and light-based devices in this anatomic site include posterior synechiae, iris atrophy, macular holes, iris pigment dispersion, anterior uveitis, and blindness. [10][11][12][13][14] Most of the events occur in the absence of sufficient eye protection.…”
Section: Discussionmentioning
confidence: 99%
“…The postulated mechanism responsible for these holes can be explained by the acoustic vibrations from the YAG laser during lysis of the posterior capsule resulting in disturbances in vitreoretinal stability, and injury and interruption of photoreceptors and retinal tissue lining the macula. 9,10 Although YAG laser-induced macular holes have been previously reported to spontaneously close in the adult population, 10 there is a paucity of reports on spontaneous closure and recovery of vision after a YAG laser-induced macular hole in the pediatric population. Case reports indicate successful spontaneous closure of macular holes do occur in the pediatric population after non-YAG laser-induced traumatic macular holes with recovery of acuity.…”
Section: Discussionmentioning
confidence: 99%