• Arch Soc Esp Oftalmol · Jan 2017

    Case Reports

    Spontaneous closure of a blue laser induced full thickness macular hole.

    • L Porrúa, N Oblanca, and J J González-López.
    • Servicio de Oftalmología, Hospital Universitario Ramón y Cajal, Madrid, España.
    • Arch Soc Esp Oftalmol. 2017 Jan 1; 92 (1): 29-32.

    Case ReportA 14 year-old boy attended our clinic complaining of a scotoma after an accidental exposure to a 10W, 450nm 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.Copyright © 2016 Sociedad Española de Oftalmología. Publicado por Elsevier España, S.L.U. All rights reserved.

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