Macular burns resulting from the accidental use of selective laser trabeculoplasty mode during a laser capsulotomy

摘要

An elderly patient presented to Croydon Eye Unit in 2004 with severe visual loss in her left eye, following Nd:YAG laser cap-sulotomy one day previously. Four years earlier, she had uneventful cataract phacoemulsification surgery to both eyes, resulting in unaided visual acuities of 20/20. Immediately prior to the left laser capsulotomy, her best-corrected visual acuities were 20/20 in her right eye and 20/60 in her left eye, the latter reduced due to posterior capsular opacification. Ocular examination was otherwise normal and there was no other relevant past ophthalmic or medical history.