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Inicio Archivos de la Sociedad Española de Oftalmología (English Edition) Spontaneous closure of a blue laser induced full thickness macular hole
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Vol. 92. Issue 1.
Pages 29-32 (January 2017)
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Vol. 92. Issue 1.
Pages 29-32 (January 2017)
Short communication
Spontaneous closure of a blue laser induced full thickness macular hole
Cierre espontáneo de un agujero macular de espesor completo secundario a exposición accidental a puntero láser azul
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L. Porrúa, N. Oblanca, J.J. González-López
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juliojose.gonzalez@live.com

Corresponding author.
Servicio de Oftalmología, Hospital Universitario Ramón y Cajal, Madrid, Spain
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Abstract
Case report

A 14 year-old boy attended our clinic complaining of a scotoma after an accidental exposure to a 10W, 450nm 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.

Keywords:
Full thickness macular hole
Laser
Optical coherence tomography
Autofluorescence
Photic maculophaty
Resumen
Caso clínico

Varón de 14 años que consulta por escotoma, tras la exposición accidental a un haz de luz, de 450nm, de un puntero láser de 10W. 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 senil.

Palabras clave:
Agujero macular
Láser
Tomografía de coherencia óptica
Autofluorescencia
Maculopatía fótica

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