Accidental Nd:YAG laser-induced choroidal neovascularization

被引:13
作者
Ying, Howard S. [1 ]
Symons, Robert C. A. [1 ]
Lin, Kristie L. [1 ]
Solomon, Sharon D. [1 ]
Gehlbach, Peter L. [1 ]
机构
[1] Johns Hopkins Sch Med, Wilmer Eye Inst, Baltimore, MD 21287 USA
关键词
accident; choroidal neovascularization; fluorescein angiography; injury; laser; macular hole; Nd : YAG; neodymium : yttrium-aluminum-garnet; optical coherence tomography; photodynamic therapy;
D O I
10.1002/lsm.20626
中图分类号
R75 [皮肤病学与性病学];
学科分类号
100206 ;
摘要
Background: There are few reports in the literature to describe the natural history of an occupational Nd:YAG laser-induced retinal injury. Methods: The chronological response to a Nd:YAG laseri-nduced injury was studied in a 48-year-old male using the techniques of color fundus photography, fluorescein angiography and optical coherence tomography. When he developed choroidal neovascularization his response to photodynamic therapy with verteporfin was recorded. Results: The patient initially developed a macular hole, which spontaneously closed. Three months after the injury a choroidal neovascular membrane developed. This stabilized after the use of photodynamic therapy. Conclusions: Surgical closure of Nd:YAG induced macular holes should be delayed to allow spontaneous closure. Photodynamic therapy was successful in treating choroidal neovascularization in this case.
引用
收藏
页码:240 / 242
页数:3
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