BACKGROUND: There are few reports in the literature to describe the natural history of an occupational Nd:YAG laser-induced retinal injury. METHODS: The chronological response to a Nd:YAG laser-induced injury was studied in a 48-year-old male using the techniques of color fundus photography, fluorescein angiography and optical coherence tomography. When he developed choroidal neovascularization his response to photodynamic therapy with verteporfin was recorded. RESULTS: The patient initially developed a macular hole, which spontaneously closed. Three months after the injury a choroidal neovascular membrane developed. This stabilized after the use of photodynamic therapy. CONCLUSIONS: Surgical closure of Nd:YAG induced macular holes should be delayed to allow spontaneous closure. Photodynamic therapy was successful in treating choroidal neovascularization in this case.
BACKGROUND: There are few reports in the literature to describe the natural history of an occupational Nd:YAG laser-induced retinal injury. METHODS: The chronological response to a Nd:YAG laser-induced injury was studied in a 48-year-old male using the techniques of color fundus photography, fluorescein angiography and optical coherence tomography. When he developed choroidal neovascularization his response to photodynamic therapy with verteporfin was recorded. RESULTS: The patient initially developed a macular hole, which spontaneously closed. Three months after the injury a choroidal neovascular membrane developed. This stabilized after the use of photodynamic therapy. CONCLUSIONS: Surgical closure of Nd:YAG induced macular holes should be delayed to allow spontaneous closure. Photodynamic therapy was successful in treating choroidal neovascularization in this case.
Authors: James V M Hanson; Julian Sromicki; Mario Mangold; Matthias Golling; Christina Gerth-Kahlert Journal: Doc Ophthalmol Date: 2016-02-26 Impact factor: 2.379