A Case of Macular Hole after Exposure to Tattoo Removal by Q-Switched Neodymium:YAG Laser.

Kim, Deok Bae; Jung, Mu O; Lee, Dong Won; Choi, Gwang Ju; Kim, Dae Hyun

doi:2011.52.3.373

J Korean Ophthalmol Soc > Volume 52(3); 2011 > Article

Case Report

Journal of the Korean Ophthalmological Society 2011;52(3):373-377.
DOI: https://doi.org/10.3341/jkos.2011.52.3.373 Published online March 15, 2011.

A Case of Macular Hole after Exposure to Tattoo Removal by Q-Switched Neodymium:YAG Laser.

Deok Bae Kim, Mu O Jung, Dong Won Lee, Gwang Ju Choi, Dae Hyun Kim

¹Happy Eye Clinic, Gwangju, Korea.
²Department of Ophthalmology, School of Medicine, Chosun University, Gwangju, Korea. eyelovehyun@hanmail.net
³Department of Ophthalmology, Kim's Eye Hospital, Myung-Gok Eye Research Institute, Konyang University, Daejeon, Korea.

문신제거용 Nd:YAG 레이저에 의해 발생한 황반원공 1예

김덕배¹⋅정무오²⋅이동원³⋅최광주²⋅김대현²

Happy Eye Clinic¹, Gwangju, Korea Department of Ophthalmology, School of Medicine, Chosun University², Gwangju, Korea Department of Ophthalmology, Kim's Eye Hospital, Myung-Gok Eye Research Institute, Konyang University³, Daejeon, Korea

Abstract

PURPOSE
To report a case of a macular hole resulting from accidental exposure to tattoo removal by the Q-Switched Nd:YAG laser, which was treated successfully by vitrectomy and silicone oil infusion. CASE SUMMARY: A 33-year-old man presented with decreased visual acuity after accidental exposure to a Q-Switched Nd:YAG laser. According to fundus examination, vitreous hemorrhage and macular edema were observed. After 21 days, a macular hole had developed which was treated by standard pars plana vitrectomy and gas tamponade. Unfortunately, closure was not obtained on the first attempt. Therefore, a second attempt using silicone oil infusion was performed. Four months after the initial visit, BCVA had increased to 20/50, and anatomical occlusion was achieved. CONCLUSIONS: The authors of the present study experienced an unusual case of macular hole developed from the Q-Switched Nd:YAG laser used to remove a tattoo. A satisfactory visual acuity was achieved after silicone oil infusion despite failure in the first surgery.

Key Words: Macular hole;Q-Switched Nd:YAG laser;Silicone oil;Tattoo;Vitrectomy