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Spontaneous Peeling of Epiretinal Membrane Associated With Nd:YAG Laser Injury
Arch Ophthalmol. 2001;119:137-139.
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The increasing use of high-energy laser instrumentation for scientific
and therapeutic purposes has resulted in the proliferation of inadvertent
retinal injuries. The expanding use of Nd:YAG technology poses new threats
from accidental exposure. Reaction of retinal tissues from Nd:YAG laser insult
differs from the typical thermal injuries caused by argon and krypton lasers.
We report a case of laser injury to the macula in which we were able to closely
monitor the evolving retinal response to Nd:YAG disruption.
Report of a Case
A 23-year-old researcher suffered sudden vision loss in his right eye
while focusing a reflected beam from a frequency-doubled Nd:YAG laser. He
was not wearing protective eyewear. His best-corrected visual acuity was 20/200
OD and 20/15 OS. He noted a large gray floater, with metamorphopsia and central
scotoma identified by Amsler grid. Fundus evaluation revealed vitreous hemorrhage
obstructing adequate macular visualization. Examination results from the left
eye were unremarkable.
The next day, . . . [Full Text of this Article]
Comment
Corresponding author: Lucy H. Y. Young, MD, PhD, Department of Ophthalmology,
Massachusetts Eye and Ear Infirmary, Harvard Medical School, 243 Charles St,
Boston, MA 02114.
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