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Ophthalmic Surg Lasers. 2001 Jan-Feb;32(1):73-6.

A traumatic macular hole secondary to a high-energy Nd:YAG laser.

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Department of Ophthalmology, Chang Gung Memorial Hospital, Keelung, Taiwan.


A case is reported of a traumatic macular hole caused by a high-energy Nd:YAG laser. The initial ocular examination revealed an explosive, crater-shaped, 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 detached epiretinal membrane. This case demonstrates one of the natural healing processes of a traumatic macular hole. Although the hole finally closed, the patient did not regain his vision because of the severe damage to the photoreceptors, retinal pigment epithelium, and choroid.

[Indexed for MEDLINE]

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