Accidental diode laser-induced full-thickness macular hole: a case report

Our latest article published in BMC Ophthalmology discusses a case of a full-thickness macular hole caused by accidental diode laser exposure. It highlights the critical role of OCT in diagnosis and the need for better safety protocols.
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Accidental diode laser-induced full-thickness macular hole: a case report - BMC Ophthalmology

Accidental ocular injuries caused by laser devices used in non-medical settings are rare but potentially vision-threatening. This case report describes a 24-year-old woman who sustained a full-thickness macular hole (FTMH) in the right eye following accidental diode laser exposure during a hair removal procedure at a beauty center. The injury occurred when the laser probe was inadvertently activated, striking the patient’s unprotected eye. The patient presented with profound visual loss in the affected eye, with visual acuity reduced to the level of hand motion. Comprehensive ophthalmological examination revealed a FTMH in the right eye, confirmed by optical coherence tomography (OCT), which showed complete disruption of the foveal retinal layers and cystic changes at the margins of the hole. The patient underwent surgical intervention with pars plana vitrectomy (PPV), internal limiting membrane (ILM) peeling, and gas tamponade to promote macular hole closure and restore retinal integrity. Despite successful anatomical closure of the macular hole, the patient’s visual prognosis remained guarded due to extensive photothermal damage to the retinal pigment epithelium and photoreceptor layers. This case underscores the devastating consequences of inadequate laser safety protocols in non-medical environments, the critical role of OCT in diagnosing and managing laser-induced retinal injuries, and the importance of timely surgical intervention.

Our paper presents a case report of a 24-year-old woman who suffered a full-thickness macular hole (FTMH) in her right eye due to accidental diode laser exposure during a hair removal session at a beauty center. The incident resulted in severe visual loss, with her visual acuity reduced to hand motion level. Optical coherence tomography (OCT) confirmed the FTMH, revealing complete disruption of the foveal retinal layers. Surgical intervention, including pars plana vitrectomy and gas tamponade, achieved anatomical closure, but the visual prognosis remains poor due to retinal damage. This highlights the need for stringent laser safety protocols in nonmedical settings. Read the full paper here. 
https://link.springer.com/article/10.1186/s12886-025-03970-8

Follow the Topic

Ophthalmology
Life Sciences > Health Sciences > Clinical Medicine > Ophthalmology
Diode Lasers
Physical Sciences > Physics and Astronomy > Optics and Photonics > Laser > Diode Lasers
Tomography
Life Sciences > Health Sciences > Radiology > Radiography > Tomography

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