A Case of Macular Hole After Nd:YAG Laser Capsulotomy.

Kim, In Tae; Roh, Young Jung

doi:2008.49.4.691

J Korean Ophthalmol Soc > Volume 49(4); 2008 > Article

Case Report

Journal of the Korean Ophthalmological Society 2008;49(4):691-695.
DOI: https://doi.org/10.3341/jkos.2008.49.4.691 Published online April 15, 2008.

A Case of Macular Hole After Nd:YAG Laser Capsulotomy.

In Tae Kim, Young Jung Roh

Department of Ophthalmology & Visual Science, College of Medicine, The Catholic University of Korea, Seoul, Korea. youngjungroh@hanmail.net

Nd:YAG 레이저 후낭절개술 후 발생한 황반원공 1예

김인태ㆍ노영정

Department of Ophthalmology & Visual Science, College of Medicine, The Catholic University of Korea, Seoul, Korea

Abstract

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.

Key Words: Nd:YAG laser;Macular hole;Nd:Yag laser complication