KMID : 0360220110520030373
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Journal of the Korean Ophthalmological Society 2011 Volume.52 No. 3 p.373 ~ p.377
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A Case of Macular Hole after Exposure to Tattoo Removal by Q-Switched Neodymium:YAG Laser
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Kim Deok-Bae
Jung Mu-O Lee Dong-Won Choi Gwang-Ju Kim Dae-Hyun
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Abstract
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Purpose: To report a case of a macular hole resulting from accidental exposure to tattoo removal by the Q-Switched Nd:YAG laser, which was treated successfully by vitrectomy and silicone oil infusion.
Case Summary: A 33-year-old man presented with decreased visual acuity after accidental exposure to a Q-Switched Nd:YAG laser. According to fundus examination, vitreous hemorrhage and macular edema were observed. After 21 days, a macular hole had developed which was treated by standard pars plana vitrectomy and gas tamponade. Unfortunately, closure was not obtained on the first attempt. Therefore, a second attempt using silicone oil infusion was performed. Four months after the initial visit, BCVA had increased to 20/50, and anatomical occlusion was achieved.
Conclusions: The authors of the present study experienced an unusual case of macular hole developed from the Q-Switched Nd:YAG laser used to remove a tattoo. A satisfactory visual acuity was achieved after silicone oil infusion despite failure in the first surgery.
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KEYWORD
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Macular hole, Q-Switched Nd:YAG laser, Silicone oil, Tattoo, Vitrectomy
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