2008•Journal of Cataract & Refractive SurgeryRequires access

Acute macular hole and retinal detachment in highly myopic eyes after neodymium:YAG laser capsulotomy

Susumu Sakimoto, Yoshihiro Saito

Abstract

We report 2 cases of acute onset of macular hole and retinal detachment (MHRD) in highly myopic eyes after uneventful neodymium:YAG (Nd:YAG) laser posterior capsulotomy. Case 1 was a 76-year-old highly myopic woman who had decreased vision 4 days after Nd:YAG capsulotomy. Macular hole and retinal detachment were detected, and vitrectomy was performed. Case 2 was a 62-year-old highly myopic woman who reported visual loss 1 week after Nd:YAG capsulotomy. Macular hole and retinal detachment were detected, and vitrectomy was performed and the retina reattached. The developmental mechanisms of MHRD after Nd:YAG capsulotomy are discussed.

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Key concepts: Capsulotomy, Vitrectomy, Macular hole, Posterior Capsulotomy, Retinal detachment, Ophthalmology, Medicine, Eye disease