Editor,—Since the initial identification of macular holes as pathological entities in the middle of the 19th century,1 there has been an evolution in the understanding of their aetiology. Tangential macular traction by perifoveal vitreous cortex is now accepted as the causative factor in the development of idiopathic macular holes.2 3

With the widespread use of extracapsular cataract extraction procedures, posterior capsule opacification is a frequent complication. YAG laser capsulotomy, although a non-invasive procedure, has been associated with a number of complications, including retinal detachment, cystoid macular oedema, and raised intraocular pressure (IOP).4 5 A much rarer complication of YAG capsulotomy herein reported is the formation of a macular hole after YAG capsulotomy.4