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Nd:YAG membranotomy for sub-inner limiting membrane hemorrhage: a case report

Case Description: A 16-year-old male patient presented with a 12-days sudden painless loss of vision in his left eye after diving in a lake. Best corrected visual acuity (BCVA) in the left eye was counting fingers. Anterior segment was unremarkable. Fundoscopy in the left eye revealed a pre-retinal...

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Autores principales: Larrea, Jaime, Lacorzana, Javier, Rivera-Valdivia, Nicolás, Bueso, Diego, Abdala-Caballero, Carlos
Formato: Online Artículo Texto
Lenguaje:English
Publicado: Romanian Society of Ophthalmology 2021
Materias:
Acceso en línea:https://www.ncbi.nlm.nih.gov/pmc/articles/PMC7995512/
https://www.ncbi.nlm.nih.gov/pubmed/33817439
http://dx.doi.org/10.22336/rjo.2021.15
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author Larrea, Jaime
Lacorzana, Javier
Rivera-Valdivia, Nicolás
Bueso, Diego
Abdala-Caballero, Carlos
author_facet Larrea, Jaime
Lacorzana, Javier
Rivera-Valdivia, Nicolás
Bueso, Diego
Abdala-Caballero, Carlos
author_sort Larrea, Jaime
collection PubMed
description Case Description: A 16-year-old male patient presented with a 12-days sudden painless loss of vision in his left eye after diving in a lake. Best corrected visual acuity (BCVA) in the left eye was counting fingers. Anterior segment was unremarkable. Fundoscopy in the left eye revealed a pre-retinal hemorrhage in the macular region and swept-source ocular coherence tomography (SS-OCT) confirmed the location in the sub-inner limiting membrane (ILM) space. An Neodymium:YAG (Nd:YAG) laser membranotomy was performed the next day in order to drain the hemorrhage into the vitreous cavity. A couple of days after, the BCVA in the left eye improved to 20/ 25, at fundoscopy the blood being almost reabsorbed and the SS-OCT showing a resolution of the sub-ILM hemorrhage. Discussion: Due to Valsalva retinopathy, sub-ILM hemorrhage may lead to a sudden painless vision loss. Spontaneous resolution of the hemorrhage is possible but absorption may take a long time. During this period, intraretinal tissue migration and proliferation may lead to permanent structural damage. Posterior vitrectomy is a treatment option but the fact that it is an invasive procedure fuels the search for less invasive treatment methods and Nd:YAG laser membranotomy fits this place. Conclusion: Given the excellent results and low complication rates, Nd:YAG laser membranotomy is highly recommended to treat this condition as it offers a simple, relatively safe and a non-invasive treatment option for drainage of sub-ILM hemorrhages.
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spelling pubmed-79955122021-04-01 Nd:YAG membranotomy for sub-inner limiting membrane hemorrhage: a case report Larrea, Jaime Lacorzana, Javier Rivera-Valdivia, Nicolás Bueso, Diego Abdala-Caballero, Carlos Rom J Ophthalmol Case Reports Case Description: A 16-year-old male patient presented with a 12-days sudden painless loss of vision in his left eye after diving in a lake. Best corrected visual acuity (BCVA) in the left eye was counting fingers. Anterior segment was unremarkable. Fundoscopy in the left eye revealed a pre-retinal hemorrhage in the macular region and swept-source ocular coherence tomography (SS-OCT) confirmed the location in the sub-inner limiting membrane (ILM) space. An Neodymium:YAG (Nd:YAG) laser membranotomy was performed the next day in order to drain the hemorrhage into the vitreous cavity. A couple of days after, the BCVA in the left eye improved to 20/ 25, at fundoscopy the blood being almost reabsorbed and the SS-OCT showing a resolution of the sub-ILM hemorrhage. Discussion: Due to Valsalva retinopathy, sub-ILM hemorrhage may lead to a sudden painless vision loss. Spontaneous resolution of the hemorrhage is possible but absorption may take a long time. During this period, intraretinal tissue migration and proliferation may lead to permanent structural damage. Posterior vitrectomy is a treatment option but the fact that it is an invasive procedure fuels the search for less invasive treatment methods and Nd:YAG laser membranotomy fits this place. Conclusion: Given the excellent results and low complication rates, Nd:YAG laser membranotomy is highly recommended to treat this condition as it offers a simple, relatively safe and a non-invasive treatment option for drainage of sub-ILM hemorrhages. Romanian Society of Ophthalmology 2021 /pmc/articles/PMC7995512/ /pubmed/33817439 http://dx.doi.org/10.22336/rjo.2021.15 Text en ©Romanian Society of Ophthalmology https://creativecommons.org/licenses/by/2.0/This is an open-access article distributed under the terms of the Creative Commons Attribution License, which permits unrestricted use, distribution, and reproduction in any medium, provided the original work is properly cited.
spellingShingle Case Reports
Larrea, Jaime
Lacorzana, Javier
Rivera-Valdivia, Nicolás
Bueso, Diego
Abdala-Caballero, Carlos
Nd:YAG membranotomy for sub-inner limiting membrane hemorrhage: a case report
title Nd:YAG membranotomy for sub-inner limiting membrane hemorrhage: a case report
title_full Nd:YAG membranotomy for sub-inner limiting membrane hemorrhage: a case report
title_fullStr Nd:YAG membranotomy for sub-inner limiting membrane hemorrhage: a case report
title_full_unstemmed Nd:YAG membranotomy for sub-inner limiting membrane hemorrhage: a case report
title_short Nd:YAG membranotomy for sub-inner limiting membrane hemorrhage: a case report
title_sort nd:yag membranotomy for sub-inner limiting membrane hemorrhage: a case report
topic Case Reports
url https://www.ncbi.nlm.nih.gov/pmc/articles/PMC7995512/
https://www.ncbi.nlm.nih.gov/pubmed/33817439
http://dx.doi.org/10.22336/rjo.2021.15
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