Case Report 

Accidental Nd:YAG Laser–Induced Macular Hole in a Pediatric Patient

Maria Paula Fernandez, MD; Yasha S. Modi, MD; Vishak J. John, MD; Audina M. Berrocal, MD

  • Ophthalmic Surgery, Lasers and Imaging Retina
  • Volume 44 · E7-E10
  • Posted October 9, 2013
  • DOI: 10.3928/23258160-20130926-01


After being exposed to an industrial Nd:YAG laser, an 11-year-old boy developed a full-thickness macular hole in the right eye with resultant visual acuity of 20/100. Five months after the initial injury, the vision was stable and the hole was still present. The patient underwent pars plana vitrectomy, internal limiting membrane peeling, and gas tamponade with prone positioning. Three months postoperatively, visual acuity improved to 20/25 with closure of the macular hole; however, there was a focal photoreceptor deficit. A review of the English-language literature identified 15 eyes with similar macular hole injuries after Nd:YAG exposure. Three eyes were surgically managed. While all holes were successfully closed, only two experienced visual improvement.

[Ophthalmic Surg Lasers Imaging Retina. 2013;44:e7–e10.]

From the Bascom Palmer Eye Institute, Miami, Florida.

The authors have no financial or proprietary interest in the materials presented herein.

Address correspondence to Audina M. Berrocal, MD, Bascom Palmer Eye Institute, 900 NW 17th Street, Miami, FL 33136; email:

Received: April 16, 2013
Accepted: June 05, 2013
Posted Online: October 09, 2013


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