A traumatic macular hole secondary to a high-energy Nd : YAG laser

A case is reported of a traumatic macular hole caused by a high-energy Nd:Y AG laser. The initial ocular examination revealed an explosive, crater-shap ed, full-thickness macular hole surrounded by local edema and detachment. B y the 12(th) day after the injury, the hole had shrunk progressively and wa s covered by a thin fibrin-like membrane. A thick epiretinal membrane cover ed the injured area 1 month after the injury. Nine months after the injury, the macular hole closed spontaneously with a partially detached epiretinal membrane. This case demonstrates one of the natural healing processes of a traumatic macular hole. Although the hole finally closed, the patient did not regain his vision because of the severe damage to the photoreceptors, r etinal pigment epithelium, and choroid.