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Published on: May 5, 2022
Spontaneous closure of a blue laser induced full thickness macular hole
L Porrúa1, N Oblanca1, J J González-López1
1Servicio de Oftalmología, Hospital Universitario Ramón y Cajal, Madrid, España.
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.

