Spontaneous Closure of a Macular Hole Resulting From Yag Laser Capsulotomy in a 13-Year-Old Girl

Abstract

Purpose: To describe the novel finding of spontaneous resolution of a full-thickness macular hole resulting from YAG laser capsulotomy in a 13-year-old girl with previous history of retinal detachment repair and cataract surgery.Methods: A 13-year-old girl who had developed a macular hole after YAG laser was noted to have spontaneous resolution of the macular hole at 2-week follow-up visit with concurrent increase in visual acuity. Institutional review board was not applicable for this case.Results: Spontaneous resolution of a YAG laser-induced macular hole in a pediatric patient.Conclusion: This is a novel report in a pediatric patient of spontaneous resolution of a full-thickness macular hole induced by YAG laser capsulotomy. If a macular hole is noted after YAG capsulotomy, consideration should be given to initial close observation rather than surgical intervention as spontaneous resolution may occur.

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

“…Suren et al [ 15 ] reported a 19-year-old male's spontaneous closure of a macular hole after Nd:YAG laser treatment for Valsalva retinopathy after a 6-month observation. Parikh et al [ 23 ] reported the resolution of an FTMH resulting from YAG laser capsulotomy in a 13-year-old girl with a previous history of retinal detachment repair and cataract surgery. The prognosis of laser-induced macular holes treated with surgical intervention varies among cases published.…”

“…Conventional treatment may be the first choice if the patient has a relatively good BCVA and a small macular hole. Besides, if the BCVA tends to improve and the macular hole is recovers over time, observation time should be extended [ 23 , [26] , [27] , [28] ]. If the macular hole remains the same or enlarges, and the BCVA does not improve progressively, we recommend surgical intervention.…”