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.
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Figure 1.
Fundus photograph (A) at presentation shows dot hemorrhage at the center of the fovea and halo of subretinal fluid. Vitreous hemorrhage observed also. Optical coherence tomography (B) confirms partial defect of the neurosensory retina.
![jkos-52-373f1.tif](/upload/SynapseXML/0035jkos/thumb/jkos-52-373f1.gif)