Journal of Otolaryngology and Ophthalmology of Shandong University ›› 2025, Vol. 39 ›› Issue (6): 144-147.doi: 10.6040/j.issn.1673-3770.0.2024.007

• Original Article • Previous Articles    

Minimal quantity vitrectomy for laser-pointer induced full-thickness macular hole in a child: a case report and literature review

SONG Yanling, SI Yuanyuan, CUI Yan   

  1. Department of Ophthalmology, Qilu Hospital of Shandong University, Jinan 250012, Shandong, China
  • Published:2025-11-19

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Abstract: Objective To report the clinical features and limited vitrectomy treatment of a child with full-thickness macular hole caused by a laser pointer. We also discuss the possible process of macular hole formation and the experience of surgical treatment. Methods The diagnosis and treatment of this case were reviewed, and the case data and relevant literature were analysed and discussed. Results A round hole with a diameter of 1/4 of the optic disc was observed in the macula of the affected eye. The base of the hole was gray-white and there was a yellowish fan-shaped lesion on the nasal side of the hole. After inducing posterior vitreous detachment, a small amount of vitreous body around the posterior pole was resected. The internal limiting membrane was peeled back in a radius of approximately 1.5 PD centred on the macula. and the surgery was completed with air-fluid exchange. 12 days after surgery, OCT showed a successful closure of the macular hole. Conclusion Minimal quantity vitrectomy is effective for the repair of laser-induced full-thickness macular hole in children with lesions limited to the macular region.

Key words: Laser injury, Macular hole, Vitrectomy, Children

CLC Number: 

  • R774.5
[1] Bhavsar KV, Michel Z, Greenwald M, et al. Retinal injury from handheld lasers: a review[J]. Surv Ophthalmol, 2021, 66(2): 231-260. doi:10.1016/j.survophthal.2020.06.006
[2] Alsakran WA, Alsulaiman SM, Ghazi NG. Delayed spontaneous closure of blue laser-induced full thickness macular hole[J]. Am J Ophthalmol Case Rep, 2019, 13: 154-156. doi:10.1016/j.ajoc.2019.01.003 [PubMed]
[3] Torp-pedersen T, Welinder L, Justesen B, et al. Laser pointer maculopathy - on the rise?[J]. Acta Ophthalmol, 2018, 96(7): 749-754. doi:10.1111/aos.13856
[4] Qi Y, Wang Y, You Q, et al. Surgical treatment and optical coherence tomographic evaluation for accidental laser-induced full-thickness macular holes[J]. Eye(Lond), 2017, 31(7): 1078-1084. doi:10.1038/eye.2017.41
[5] Porrúa L, Oblanca N, González-López JJ. Spontaneous closure of a blue laser induced full thickness macular hole[J]. Arch Soc Esp Oftalmol, 2017, 92(1): 29-32. doi:10.1016/j.oftal.2016.08.004
[6] Alsulaiman SM, Alrushood AA, Almasaud J, et al. Full-thickness macular hole secondary to high-power handheld blue laser: natural history and management outcomes[J]. Am J Ophthalmol, 2015, 160(1): 107-13.e1. doi:10.1016/j.ajo.2015.04.014
[7] 王雨晴, 吴荣瀚, 张招德. 激光笔照射致巨大黄斑裂孔术后随访一例[J]. 眼科, 2021, 30(4): 322. doi.org/10.13281/j.cnki.issn.1004-4469.2021.04.016
[8] 张燕, 蔡岩, 张小玲, 等. 激光致黄斑损伤的临床分析[J]. 国际眼科杂志, 2016, 16(6): 1176-1179. doi:10.3980/j.issn.1672-5123.2016.6.48 ZHANG Yan, CAI Yan, ZHANG Xiaoling, et al. Analysis on macula injury caused by laser[J]. International Eye Science, 2016, 16(6): 1176-1179. doi:10.3980/j.issn.1672-5123.2016.6.48
[9] 肖辉, 刘杏, 黄晶晶, 等. 激光性黄斑病变的OCT图像特征[J]. 眼科学报, 2010, 25(2): 82-85. doi:10.3969/j.issn.1000-4432.2010.02.005 XIAO Hui, LIU Xing, HUANG Jingjing, et al. Image characters of optical coherence tomography in laser-induced maculopath[J]. YAN KE XUE BAO, 2010, 25(2): 82-85. doi:10.3969/j.issn.1000-4432.2010.02.005
[10] Zhang L, Zheng A, Nie H, et al. Laser-induced photic injury phenocopies macular dystrophy[J]. Ophthalmic Genet, 2016, 37(1): 59-67. doi:10.3109/13816810.2015.1059458
[11] Cankurtaran M, ?瘙塁ekeryapan GB, Sub-Tenon. Triamcinolone acetonide injection in the acute treatment of handheld laser-induced maculopathy[J]. Turk J Ophthalmol, 2022, 52(4): 281-285. doi.org/10.4274/tjo.galenos.2022.46095
[12] Tran K, Wang D, Scharf J, et al. Inner choroidal ischaemia and CNV due to handheld laser-induced maculopathy: a case report and review[J]. Eye, 2020, 34(11): 1958-1965. doi:10.1038/s41433-020-0830-3
[13] Reid G, Shirley K, Gamble R, et al. Macular injuries secondary to handheld lasers in a paediatric population—clinical characteristics and indicators of visual impact[J]. Eye, 2023, 37(1): 176-182. doi:10.1038/s41433-021-01916-0
[14] Tomasso L, Benatti L, La spina C, et al. Optical coherence tomography angiography findings in laser maculopathy[J]. Eur J Ophthalmol, 2017, 27(1): e13-e15. doi:10.5301/ejo.5000844
[15] 王利萍, 王国平, 刘小虎, 等. 玻璃体切除术治疗激光损伤性黄斑裂孔1例[J]. 中国中医眼科杂志, 2023, 33(3): 260-261, 272. doi:10.13444/j.cnki.zgzyykzz.2023.03.014 WANG Liping, WANG Guoping, LIU Xiaohu, et al. Vitrectomy for laser-induced macular hole: a case report[J]. China Journal of Chinese Ophthalmology, 2023, 33(3): 260-261, 272. doi:10.13444/j.cnki.zgzyykzz.2023.03.014
[16] Alsulaiman SM, Alrushood AA, Almasaud J, et al. High-power handheld blue laser-induced maculopathy: the results of the King Khaled Eye Specialist Hospital Collaborative Retina Study Group[J]. Ophthalmology, 2014, 121(2): 566-72.e1. doi:10.1016/j.ophtha.2013.09.006
[17] Wang X, Zhang T, Jiang R, et al. Vitrectomy for laser-induced full-thickness macular hole[J]. BMC Ophthalmol, 2021, 21(1): 135. doi:10.1186/s12886-021-01893-8
[18] Wong SC, Capone A, Jr. Microplasmin(ocriplasmin)in pediatric vitreoretinal surgery: update and review[J]. Retina, 2013, 33(2): 339-48. doi.org/10.1097/IAE.0b013e31826e86e0
[19] Yu Y, Qi B, Liang X, et al. Intraoperative iatrogenic retinal breaks in 23-gauge vitrectomy for stage 3 and stage 4 idiopathic macular holes[J]. Br J Ophthalmol, 2021, 105(1): 93-96. doi:10.1136/bjophthalmol-2019-315579
[20] 李昊, 周芳. 特发性黄斑裂孔的形态与预后分析[J]. 山东大学耳鼻喉眼学报, 2014, 28(2): 81-83. doi:10.6040/j.issn.1673-3770.0.2014.012 LI Hao, ZHOU Fang.Idiopathic macular hole surgery prognosis based on macular hole size[J]. Journal of Otolaryngology and Opthalmology of Shandong University, 2014, 28(2): 81-83. doi:10.6040/j.issn.1673-3770.0.2014.012.
[21] Özkan B, Karaba?瘙塂 V L, YıLmaz Tu gan B, et al. Limited vitrectomy in patients with idiopathic macular hole[J]. Balkan Med J, 2019, 36(6): 320-323. doi:10.4274/balkanmedj.galenos.2019.2018.12.103
[22] Kim JH, Kang SW, Kim YT, et al. Partial posterior hyaloidectomy for macular disorders[J]. Eye(Lond), 2013, 27(8): 946-951. doi:10.1038/eye.2013.117
[23] 杨雪鹏, 史陇, 崔彦. 先天性白内障术后视网膜脱离合并睫状体环形纤维增生1例并文献复习[J]. 山东大学耳鼻喉眼学报, 2022, 36(6): 51-55. doi:10.6040/j.issn.1673-3770.0.2022.370 YANG Xuepeng, SHI Long, CUI Yan. Retinal detachment with concurrent annular fibrous hyperplasia around the ciliary body after congenital cataract surgery: a case report and literature review[J]. Journal of Otolaryngology and Opthalmology of Shandong University, 2022, 36(6): 51-55. doi:10.6040/j.issn.1673-3770.0.2022.370.
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