Focal choroidal excavation and a traumatic macular hole secondary to accidental Q-switched Nd:YAG laser

Shuai, Yuanlu; Xiang-lei, Chen; Fang, Wangyi; Li, Jia; Ge, Weizhong; Yuan, Songtao; Liu, Qinghuai

doi:10.1016/j.pdpdt.2017.07.001

Cited by 2 publications

(2 citation statements)

References 18 publications

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“…Previous reports have demonstrated that various kinds of lasers may lead to an FTMH accidently, including titanium-sapphire laser [ 1 ], blue light laser [ 2 , 3 ], argon laser [ 4 ] and most frequently, the Q-switched Nd:YAG laser [ [5] , [6] , [7] , [8] , [9] , [10] , [11] ]. These lasers can be found in industry [ 4 ], laboratory [ 9 , 12 ], hospital [ 6 , 7 , 10 , [13] , [14] , [15] ] and even people's daily life, i.e. laser pointers [ 16 ].…”

Section: Discussionmentioning

confidence: 99%

Vitrectomy for a traumatic macular hole caused by cosmetic laser in a beauty salon: A case report

Yang,

Lei,

Zhang

2024

Heliyon

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Section: Discussionmentioning

confidence: 99%

Vitrectomy for a traumatic macular hole caused by cosmetic laser in a beauty salon: A case report

Yang,

Lei,

Zhang

2024

Heliyon

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“…Reports of laser-induced macular holes (MHs), a special subtype of secondary MHs, have increased in recent years [ 1 – 3 ]. A careful review of medical history is essential for the correct clinical diagnosis.…”

Section: Introductionmentioning

confidence: 99%

Vitrectomy for laser-induced full-thickness macular hole

et al. 2021

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Background To report the structure and visual outcomes of pars plana vitrectomy (PPV) for laser-induced full-thickness macular holes (MHs). Methods This retrospective study enrolled 10 patients who underwent vitrectomy for MHs caused by laser injury. Best corrected visual acuity (BCVA), macular spectral-domain optical coherence tomography (OCT) and OCT angiography (OCTA) were used for assessment. Results Four patients were injured by unexpected expose of an yttrium aluminum garnet (YAG) laser, and six patients were accidentally injured by a handheld laser. The MH minimum diameters (MDs) ranged from 55 to 966 μm (mean = 548.00 ± 286.10 μm), and BCVA ranged from 20/400 to 20/50 (mean = logMAR 0.87 ± 0.29) preoperatively. All 10 eyes underwent PPV, internal limiting membrane (ILM) peeling, and gas tamponade. All eyes demonstrated closure of the MH with different degrees of discontinuity of the outer layer of the retina, and four eyes exhibited serious retinal pigment epithelium (RPE) destruction. Postoperative BCVA values were significantly improved (mean = logMAR 0.55 ± 0.33; P = 0.032, t = 2.234). The mean BCVA of the destroyed RPE group was significantly worse than that of the non-destroyed RPE group both before and after surgery (P = 0.019; Wilcoxon signed rank test). Further, OCTA indicated choroidal ischemia in the laser-induced MHs. Conclusion Vitrectomy can be successful in closing laser-induced full-thickness MHs and improving visual acuity. However, If RPE/choroid is involved in laser damage in addition to the outer retinal layer, this may indicate poor visual prognosis.

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Focal choroidal excavation and a traumatic macular hole secondary to accidental Q-switched Nd:YAG laser

Cited by 2 publications

References 18 publications

Vitrectomy for a traumatic macular hole caused by cosmetic laser in a beauty salon: A case report

Vitrectomy for a traumatic macular hole caused by cosmetic laser in a beauty salon: A case report

Vitrectomy for laser-induced full-thickness macular hole

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