Amsler grid examination and optical coherence tomography of a macular hole caused by accidental Nd:YAG laser injury.

Sakaguchi, H; Ohji, M; Kubota, A; Otori, Y; Hayashi, A; Kusaka, S; Saito, Y; Tano, Y · Am J Ophthalmol · 2000

case_report · Level V

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Abstract

To compare a macular hole from accidental Nd:YAG laser injury with idiopathic macular holes. Case report. In a 24-year-old man with accidental Nd:YAG laser injury, right eye, Amsler grid testing and optical coherence tomography were performed. Nd:YAG laser injury was responsible for a macular hole about 700 microm in diameter. The visual acuity was 20/100. Amsler grid testing displayed a central scotoma with no surrounding distortion. Optical coherence tomography showed a defect in all retinal layers at the macula. The scotoma caused by Nd:YAG laser injury is not surrounded by distortion; the hole is produced by the defect of all retinal layers. In contrast, idiopathic macular holes generally produce a pincushion pattern on Amsler grid testing and have no tissue loss.

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