A case series of patients with acute premacular subhyaloid hemorrhage treated with Nd:YAG laser hyaloidotomy
| Date | Start Page | End Page |
|---|---|---|
2023-03-11 | 1 | 1 |
Imaging
PURPOSE
To describe 6 case series in the Department of Ophthalmology, Lithuanian University of Health Sciences (LUHS) of acute premacular subhyaloid hemorrhage treated with laser hyaloidotomy.
SETTING / VENUE
Department of Ophthalmology, Lithuanian University of Health Sciences, Kaunas, Lithuania
METHODS
This case series were managed at the Department of Ophthalmology, LUHS from 2016 to 2019. It included 6 eyes of 6 patients (5 male and 1 female) with acute premacular subhyaloid hemorrhage of different etiologies treated with Nd:YAG laser hyaloidotomy. Laser was applied to break the posterior hyaloid membrane allowing the drainage of blood into the vitreous cavity. Used laser power ranged between 4.0 and 11.0 mJ.
RESULTS
In all patients with premacular subhyaloid hemorrhage treatment with Nd:YAG laser hyaloidotomy was successful. In all cases increase in visual acuity was achieved. In most cases visual acuity improved significantly and rapidly. No complications or damage to the retina or choroid related to laser treatment were reported in any of the following cases.
CONCLUSIONS
In all cases of premacular subhyaloid hemorrhage treatment with Nd:YAG laser hyaloidotomy was safe and effective with significant and fast improvement in visual acuity. Nd:YAG laser hyaloidotomy is appropriate management allowing drainage of the blood, visualization of the underlying macula and avoidance of more invasive treatment such as vitrectomy.