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Macular burns resulting from the accidental use of selective laser trabeculoplasty mode during a laser capsulotomy
  1. Sidath E Liyanage1,
  2. Neruban Kumaran2,
  3. Dilogen De Alwis3
  1. 1Department of Ophthalmology, Moorfields Eye Hospital, London, UK
  2. 2Department of Ophthalmology, King's College Hospital, London, UK
  3. 3BMI Shirley Oaks Hospital, Croydon, Surrey, UK
  1. Correspondence to Mr Sidath Liyanage, Vitreoretinal Department, Moorfields Eye Hospital, 162 City Road, London, EC1V 2PD, UK; sidath{at}doctors.net.uk

https://doi.org/10.1136/bjophthalmol-2013-303489

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    An elderly patient presented to Croydon Eye Unit in 2004 with severe visual loss in her left eye, following Nd:YAG laser capsulotomy one day previously. Four years earlier, she had uneventful cataract phacoemulsification surgery to both eyes, resulting in unaided visual acuities of 20/20. Immediately prior to the left laser capsulotomy, her best-corrected visual acuities were 20/20 in her right eye and 20/60 in her left eye, the latter reduced due to posterior capsular opacification. Ocular examination was otherwise normal and there was no other relevant past ophthalmic or medical history.

    The laser capsulotomy was performed with Tango dual mode laser (Ellex, Australia) using 58 mJ on a single pulse setting. The following day, her best-corrected left visual acuity was counting fingers, with ocular examination revealing no abnormalities. A presumptive …

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    Footnotes

    • Contributors DDA: involved in management of patient and preparation of manuscript, SL and NK: preparation of manuscript.

    • Competing interests None.

    • Provenance and peer review Not commissioned; externally peer reviewed.