Tsui Jonathan C, Marks Steven J
Ophthalmology, Geisinger Medical Center, Danville, USA.
Cureus. 2021 Jan 10;13(1):e12603. doi: 10.7759/cureus.12603.
Macular hole formation is a rare complication of laser peripheral iridotomy (LPI) and may cause permanent scotomas. This case describes macular hole formation after 2.8 mJ Nd:YAG laser energy application in a patient with vitreomacular attachment. A literature review of a limited number of case reports shows that older patients who developed holes after LPI had more visually-significant and advanced stage holes that required surgical retinal repair, whereas younger patients had less visually-significant and mild stage holes with a spontaneous resolution on optical coherence tomography (OCT).
黄斑裂孔形成是激光周边虹膜切开术（LPI）的一种罕见并发症，可能导致永久性暗点。本病例描述了在一名患有玻璃体黄斑附着的患者中，应用2.8 mJ钕:钇铝石榴石激光能量后黄斑裂孔的形成。对数量有限的病例报告进行的文献综述表明，LPI术后出现裂孔的老年患者有更多具有明显视觉意义且处于晚期阶段的裂孔，需要进行视网膜手术修复，而年轻患者的裂孔视觉意义较小且处于轻度阶段，在光学相干断层扫描（OCT）上可自发消退。
