Spontaneous closure of a blue laser induced full thickness macular hole
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- 作者：L. Porrú ; a ; N. Oblanca ; J.J. Gonzá ; lez-Ló ; pez ; juliojose.gonzalez@live.com
- 关键词：Full thickness macular hole ; Laser ; Optical coherence tomography ; Autofluorescence ; Photic maculophaty
- 刊名：Archivos de la Sociedad Española de Oftalmología (English Edition)
- 出版年：2017
- 出版时间：January 2017
- 年：2017
- 卷：92
- 期：1
- 页码：29-32
- 全文大小：2064 K
- 卷排序：92
文摘
A 14 year-old boy attended our clinic complaining of a scotoma after an accidental exposure to a 10 W, 450 nm laser beam from a blue-light handheld laser device. Optical coherence tomography confirmed a full thickness macular hole. As visual acuity (VA) remained 20/20 Snellen, observation was decided. Spontaneous closure was confirmed after one month.DiscussionReckless use of high-power handheld laser devices may induce severe retinal lesions, including full thickness macular holes. Observation is a sensible treatment option in this type of macular hole, especially when VA is preserved. The pathophysiology of these cases differs from senile full thickness macular holes.