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

被引:20
作者
Sakaguchi, H
Ohji, M
Kubota, A
Otori, Y
Hayashi, A
Kusaka, S
Saito, Y
Tano, Y
机构
[1] Cleveland Clin Fdn, Cole Eye Inst, Cleveland, OH 44195 USA
[2] Osaka Univ, Sch Med, Dept Ophthalmol, Suita, Osaka 565, Japan
关键词
D O I
10.1016/S0002-9394(00)00547-X
中图分类号
R77 [眼科学];
学科分类号
100212 ;
摘要
PURPOSE: To compare a macular hole from accidental Nd:YAG laser injury with idiopathic macular holes, METHODS: 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, RESULTS: Nd:YAG laser injury was responsible for a macular hole about 700 mu m 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. CONCLUSION: 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. (C) 2000 by Elsevier Science Inc. All rights reserved.
引用
收藏
页码:355 / 356
页数:2
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