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Unilateral Stage 1A Macular Hole Secondary to Low-Energy Nd:YAG Peripheral Iridotomy

Macular hole formation is a rare complication of laser peripheral iridotomy (LPI) and may cause permanent scotomas. This case describes macular hole formation after 2.8 mJ Nd:YAG laser energy application in a patient with vitreomacular attachment. A literature review of a limited number of case repo...

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Detalles Bibliográficos
Autores principales: Tsui, Jonathan C, Marks, Steven J
Formato: Online Artículo Texto
Lenguaje:English
Publicado: Cureus 2021
Materias:
Acceso en línea:https://www.ncbi.nlm.nih.gov/pmc/articles/PMC7872480/
https://www.ncbi.nlm.nih.gov/pubmed/33585093
http://dx.doi.org/10.7759/cureus.12603
Descripción
Sumario:Macular hole formation is a rare complication of laser peripheral iridotomy (LPI) and may cause permanent scotomas. This case describes macular hole formation after 2.8 mJ Nd:YAG laser energy application in a patient with vitreomacular attachment. A literature review of a limited number of case reports shows that older patients who developed holes after LPI had more visually-significant and advanced stage holes that required surgical retinal repair, whereas younger patients had less visually-significant and mild stage holes with a spontaneous resolution on optical coherence tomography (OCT).