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KMID : 0360220110520030373
Journal of the Korean Ophthalmological Society
2011 Volume.52 No. 3 p.373 ~ p.377
A Case of Macular Hole after Exposure to Tattoo Removal by Q-Switched Neodymium:YAG Laser
Kim Deok-Bae

Jung Mu-O
Lee Dong-Won
Choi Gwang-Ju
Kim Dae-Hyun
Abstract
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.
KEYWORD
Macular hole, Q-Switched Nd:YAG laser, Silicone oil, Tattoo, Vitrectomy
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