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  • Title: Spontaneous closure of a blue laser induced full thickness macular hole.
    Author: Porrúa L, Oblanca N, González-López JJ.
    Journal: Arch Soc Esp Oftalmol; 2017 Jan; 92(1):29-32. PubMed ID: 27769554.
    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.
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