Femtosecond laser can cause choroidal rupture
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Updated: Apr 21, 2026

In Vivo Multimodal Imaging and Analysis of Mouse Laser-Induced Choroidal Neovascularization Model
Published on: January 21, 2018
Ki Hwang Lee1, Ho Min Lew, Hong Seok Yang
1From the Department of Ophthalmology, Ajou University Hospital, Suwon, Republic of Korea.
Purpose:
Many studies have found that it is very difficult to create choroidal lesions using a femtosecond laser. However, a patient with a premacular hemorrhage in the left eye and a choroidal rupture in the right eye from exposure to reflection of a femtosecond laser from a metal is described.
Methods:
The patient was treated with intravitreal expansile gas to displace the premacular blood in the left eye on posttrauma day 2.
Patients:
A 51-year-old man presented with blind spots in both eyes after being exposed to reflection of a femtosecond laser from a metal.
Results:
At the 10-week follow-up, the patient's vision improved to 20/40 (20/30 with a pinhole in the left eye).
Discussion:
This case suggests that choroidal rupture may occur with use of a femtosecond laser system.

