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Femtosecond laser can cause choroidal rupture
Ki Hwang Lee1, Ho Min Lew, Hong Seok Yang
1From the Department of Ophthalmology, Ajou University Hospital, Suwon, Republic of Korea.
Retinal Cases & Brief Reports
|November 13, 2014
Summary
Femtosecond laser reflection can cause eye injuries, including choroidal rupture and premacular hemorrhage. Prompt treatment with intravitreal gas improved vision in a patient experiencing these rare femtosecond laser complications.
Area of Science:
- Ophthalmology
- Laser Surgery
- Retinal Diseases
Background:
- Femtosecond lasers are widely used in ophthalmic surgery.
- Creating choroidal lesions with femtosecond lasers is typically challenging.
- Accidental exposure to laser reflections can pose risks.
Purpose of the Study:
- To report a rare case of ocular injury from femtosecond laser reflection.
- To highlight the potential for choroidal rupture and premacular hemorrhage.
- To discuss the implications for laser safety protocols.
Main Methods:
- A patient presented with bilateral visual disturbances after femtosecond laser exposure.
- Ocular examination revealed premacular hemorrhage in one eye and choroidal rupture in the other.
- Treatment involved intravitreal expansile gas to manage the premacular hemorrhage.
Main Results:
- The patient experienced significant visual improvement at the 10-week follow-up.
- Vision in the affected eyes improved to 20/40 and 20/30 with pinhole correction.
- The case demonstrates a potential, albeit rare, complication of femtosecond laser use.
Conclusions:
- Choroidal rupture can occur as a result of femtosecond laser exposure.
- This case underscores the importance of safety measures during laser procedures.
- Further investigation into the mechanisms of laser-induced ocular damage is warranted.

