Purchase this article with an account.
B. Bakall, R. Park, S. Basavanthappa; Occupational Laser Injury Causing Acute Vitreous Hemorrhage and Delayed Macular Hole. Invest. Ophthalmol. Vis. Sci. 2010;51(13):6021.
Download citation file:
© ARVO (1962-2015); The Authors (2016-present)
To describe a patient with an occupational laser injury who had initial vitreous hemorrhage and late manifestation of a macular hole.
Case Report: A 51 year-old male optical scientist working with high energy lasers was accidentally exposed to a 800 nm Solid State Titanium Sapphire Laser. He presented initially with blurred vision in right eye, which was caused by vitreous hemorrhage from a retino-choroidal lesion in the macula. The vision normalized and he later presented after 16 months with decreased vision in the left eye with a visual acuity of 20/70. Fundus exam, optical coherence tomography and fluorescein angiography revealed a full thickness macular hole in the left eye. Common risk factors for developing macular hole as trauma, age over 65 years and posterior vitreous detachment were absent.
The macular hole was treated with pars plana vitrectomy and membrane peeling, which improved the vision to 20/50.
Macular hole can present as a late manifestation after occupational laser injury. In a previous report by Sasahara et al. Am. J. Oph. 2003;136:1167-1170, a man presented with a macular hole 53 days after accidental exposure to a Ti:Sapphire laser. The current case report shows that macular hole can present as late as 16 months after a Ti:Sapphire laser injury.
This PDF is available to Subscribers Only