Reopening of 2 macular holes after neodymium:YAG capsulotomy

Abstract

We report 2 cases of reopening of macular holes after successful neodymium:YAG (Nd:YAG) posterior capsulotomy. Both patients had surgery for closure of macular holes with recovery of visual acuity. To our knowledge, this is the first report of recurrent macular holes after Nd:YAG laser posterior capsulotomy treated successfully with surgery.

Impact of Internal Limiting Membrane Peeling on Macular Hole Reopening

“…58 Anecdotal reports have also suggested potential associations with macular hole reopenings and patients with retinitis pigmentosa, 59 hypertensive chorioretinopathy, 60 and those who have recently undergone neodymium-doped yttrium aluminium garnet capsulotomy. 61 The main limitations of this study are the possibility of having missed relevant publications and that the studies included to make up the data set of this metaanalysis are mostly retrospective series in nature, rather than prospective, randomized, controlled clinical trials. Nevertheless, the strength of this metaanalysis is that somewhat disparate studies can be pooled, as long as the criteria for selection of studies make sense and are clearly defined.…”

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

“…In 83 consecutive cases of MHRD from April 1998 to March 2007, the incidence of MHRD after cataract surgery was 24% (20 eyes) and after Nd:YAG capsulotomy, 8.4% (7 eyes) (unpublished data). A previous case-control study reports that Nd:YAG laser capsulotomy may be a risk factor for posterior RD, with a rate of 9.1% in highly myopic eyes (between À15 and À30 diopters).…”

“…1 Chaudhary et al 7 postulate that the main pathogenic theory of MH formation after Nd:YAG laser capsulotomy is perifoveal vitreous contraction. However, García-Arumí et al 8 report that the Nd:YAG laser pulse wave could be transmitted directly to the posterior pole. In the current cases, the absence of intraoperative findings of an epiretinal membrane or an apparent posterior vitreous cortex indicates the pathogenesis was direct transmission of the laser capsulotomy pulses.…”

Spontaneous closure of stage IV idiopathic full-thickness macular hole and late reopening as a lamellar macular hole: a case report

“…Several factors have been described for the reopening of full-thickness macular holes after vitrectomy: cataract extraction (although controversial) [13], neodymium: yttrium aluminum garnet (YAG) capsulotomy [14], tangential contraction of an ERM [15], and so on. However, the pathogenesis of spontaneous reopening is still controversial.…”