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Case Reports and Small Case Series
January 2001

Spontaneous Peeling of Epiretinal Membrane Associated With Nd:YAG Laser Injury

Arch Ophthalmol. 2001;119(1):137-139. doi:

The increasing use of high-energy laser instrumentation for scientific and therapeutic purposes has resulted in the proliferation of inadvertent retinal injuries. The expanding use of Nd:YAG technology poses new threats from accidental exposure. Reaction of retinal tissues from Nd:YAG laser insult differs from the typical thermal injuries caused by argon and krypton lasers. We report a case of laser injury to the macula in which we were able to closely monitor the evolving retinal response to Nd:YAG disruption.

A 23-year-old researcher suffered sudden vision loss in his right eye while focusing a reflected beam from a frequency-doubled Nd:YAG laser. He was not wearing protective eyewear. His best-corrected visual acuity was 20/200 OD and 20/15 OS. He noted a large gray floater, with metamorphopsia and central scotoma identified by Amsler grid. Fundus evaluation revealed vitreous hemorrhage obstructing adequate macular visualization. Examination results from the left eye were unremarkable.