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  • Title: A traumatic macular hole secondary to a high-energy Nd:YAG laser.
    Author: Chuang LH, Lai CC, Yang KJ, Chen TL, Ku WC.
    Journal: Ophthalmic Surg Lasers; 2001; 32(1):73-6. PubMed ID: 11195748.
    Abstract:
    A case is reported of a traumatic macular hole caused by a high-energy Nd:YAG laser. The initial ocular examination revealed an explosive, crater-shaped, full-thickness macular hole surrounded by local edema and detachment. By the 12th day after the injury, the hole had shrunk progressively and was covered by a thin fibrin-like membrane. A thick epiretinal membrane covered the injured area 1 month after the injury. Nine months after the injury, the macular hole closed spontaneously with a partially detached epiretinal membrane. This case demonstrates one of the natural healing processes of a traumatic macular hole. Although the hole finally closed, the patient did not regain his vision because of the severe damage to the photoreceptors, retinal pigment epithelium, and choroid.
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