Yang Songyue, Lei Chunyan, Zhang Meixia
Department of Ophthalmology, West China Hospital, Sichuan University, Chengdu, 610041, China.
Heliyon. 2024 Apr 4;10(8):e28466. doi: 10.1016/j.heliyon.2024.e28466. eCollection 2024 Apr 30.
The Nd:YAG laser is widely used in various aspects of work and life. Currently, it has become a popular cosmetic technique in beauty salons. The laser can be dangerous when it flashes into people's eyes.
A 34-year-old female sustained a 1064-nm Q-switched Nd:YAG laser injury to her left eye. One month after the injury, she presented to our clinic with best-corrected visual acuity (BCVA) of 20/250 and a full-thickness macular hole on the optical coherence tomography (OCT). The patient received pars plana vitrectomy, internal limiting membrane peeling and sterile air injection 3 months after the injury. OCT showed closure of the hole 9 days postoperatively. After a 3-month follow-up, her BCVA improved to 20/100.
This case report comprehensively introduces the whole progression of a cosmetic laser-induced macular hole from formation to recovery. Due to the potential threats of the laser and its irreversible damage to the retina and choroid, sufficient education should be given before performing any laser devices, especially those without professional knowledge.
钕钇铝石榴石（Nd:YAG）激光在工作和生活的各个方面都有广泛应用。目前，它已成为美容院中一种流行的美容技术。当激光射入人眼时可能会有危险。
一名34岁女性左眼遭受1064纳米调Q钕钇铝石榴石激光损伤。受伤1个月后，她前来我院就诊，最佳矫正视力（BCVA）为20/250，光学相干断层扫描（OCT）显示全层黄斑裂孔。患者在受伤3个月后接受了玻璃体切除术、内界膜剥除术和无菌空气注入。术后9天OCT显示裂孔闭合。经过3个月的随访，她的BCVA提高到了20/100。
本病例报告全面介绍了美容激光诱导黄斑裂孔从形成到恢复的整个过程。由于激光的潜在威胁及其对视网膜和脉络膜的不可逆损伤，在使用任何激光设备之前，尤其是对没有专业知识的人，应进行充分的教育。
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