Spontaneous closure of a blue laser induced full thickness macular hole

Abstract

Case report: A 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.

Discussion: Reckless 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.

Keywords: Agujero macular; Autofluorescence; Autofluorescencia; Full thickness macular hole; Laser; Láser; Maculopatía fótica; Optical coherence tomography; Photic maculophaty; Tomografía de coherencia óptica.