Article Text

Download PDFPDF
Spontaneous closure of a macular hole secondary to an accidental laser injury
  1. Department of Ophthalmology, Addenbrooke's Hospital, Cambridge, UK
  1. Dr D K Newman, Department of Ophthalmology, Clinic 3 (Box 41), Addenbrooke's Hospital, Hills Road, Cambridge CB2 2QQ, UK

Statistics from

Request Permissions

If you wish to reuse any or all of this article please use the link below which will take you to the Copyright Clearance Center’s RightsLink service. You will be able to get a quick price and instant permission to reuse the content in many different ways.

Editor,—Early surgical intervention has been reported to achieve closure of laser induced macular holes.1 2 We report a case of spontaneous closure of a laser induced macular hole indicating that surgery should not be undertaken before a reasonable period of observation.


A 24 year old physics postgraduate student accidentally sustained an injury to his right eye while aligning an 806 nm titanium-sapphire laser. The laser parameters were pulse energy 2 mJ, pulse duration 100 femtoseconds, and repetition rate 10 Hz. The duration of exposure was limited by his blink reflex. He noted immediate impairment of central vision in this eye.

When examined by an ophthalmologist 2 days later, visual acuity was 6/18 in the right eye. Amsler testing demonstrated an absolute paracentral scotoma which was 1.5° in diameter and abutted fixation. A full thickness macular hole was present with loss of both neurosensory retina and retinal pigment epithelium (RPE). The hole was …

View Full Text