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KMID : 0360220080490040691
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Journal of the Korean Ophthalmological Society
2008 Volume.49 No. 4 p.691 ~ p.695
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A Case of Macular Hole After Nd:YAG Laser Capsulotomy
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Kim In-Tae
Roh Young-Jung
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Abstract
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Purpose: To report a case of a macular hole resulting from accidental Nd:YAG laser capsulotomy for cataract, which was treated by vitrectomy.
Case summary: A 70-year-old man had decreased visual acuity one day after Nd:YAG laser capsulotomy. By fundus exam, vitreous and macular hemorrhages were observed. After 11 days, intravitreal gas injection was performed, and 3 months later, a macular hole has developed. Pars plana vitrectomy, internal limiting membrane peeling, and gas tamponade were performed, and anatomical occlusion was achieved and maintained for 6 months postoperatively. However, final visual acuity improvement was limited up to 0.08.
Conclusions: We experienced an unusual case of macular hole formation from Nd:YAG capsulotomy. Vitrectomy was performed but visual acuity improvement remained limited.
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KEYWORD
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Nd:YAG laser, Macular hole, Nd:Yag laser complication
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