A Case of Macular Hole After Nd:YAG Laser Capsulotomy

ABSTRACT

PURPOSE: To report a case of a macular hole resulting from accidental NdYAG laser capsulotomy for cataract, which was treated by vitrectomy. CASE SUMMARY: A 70-year-old man had decreased visual acuity one day after NdYAG laser capsulotomy. By fundus exam, vitreous and macular hemorrhages were observed. After 11 days, intravitreal gas injection was performed, and 3 months later, a macular hole has developed. Pars plana vitrectomy, internal limiting membrane peeling, and gas tamponade were performed, and anatomical occlusion was achieved and maintained for 6 months postoperatively. However, final visual acuity improvement was limited up to 0.08. CONCLUSIONS: We experienced an unusual case of macular hole formation from NdYAG capsulotomy. Vitrectomy was performed but visual acuity improvement remained limited.