Cierre espontáneo de un agujero macular de espesor completo secundario a exposición accidental a puntero láser azul / Spontaneous closure of a blue laser induced full thickness macular hole
Arch. Soc. Esp. Oftalmol
; 92(1): 29-32, ene. 2017. ilus
Article
in Spanish
| IBECS
| ID: ibc-159163
Responsible library:
ES1.1
Localization: BNCS
RESUMEN
CASO CLÍNICO Varón de 14 años que consulta por escotoma, tras la exposición accidental a un haz de luz, de 450 nm, de un puntero láser de 10 W. La tomografía de coherencia óptica confirma un agujero macular de espesor completo. Dada la agudeza visual (AV) de 20/20 Snellen, se decide observación. Al mes se confirma el cierre espontáneo del agujero macular. DISCUSIÓN:
El uso indebido de dispositivos láser de alta potencia puede causar importantes lesiones en la retina, como agujeros maculares de espesor completo. La observación es una opción válida en estos agujeros maculares, cuya fisiopatología es diferente a la del agujero macular senilABSTRACT
CASE REPORT A 14 year-old boy attended our clinic complaining of a scotoma after an accidental exposure to a 10 W, 450 nm 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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Collection:
National databases
/
Spain
Health context:
SDG3 - Target 3.9 Reduce the amount of deaths produced by dangerous chemicals and the pollution of the air, water and soil
Health problem:
Occupational Exposures
Database:
IBECS
Main subject:
Retinal Perforations
/
Scotoma
/
Lasers
Type of study:
Diagnostic study
Limits:
Adolescent
/
Humans
/
Male
Language:
Spanish
Journal:
Arch. Soc. Esp. Oftalmol
Year:
2017
Document type:
Article
Institution/Affiliation country:
Hospital Universitario Ramón y Cajal/España