scholarly journals Nd:YAG Laser Hyaloidotomy for Treatment of Subhyaloid Hemorrhage in Pregnancy

2020 ◽  
Author(s):  
Mojtaba Abrishami ◽  
Nasser Shoeibi ◽  
Hamid Reza Heidarzadeh ◽  
Ghodsieh Zamani
Keyword(s):  
Visual Acuity ◽  
Nd:Yag Laser ◽  
Pregnant Patient ◽  
Visual Recovery ◽  
Case Presentation ◽  
Hand Motion ◽  
Valsalva Retinopathy ◽  
Eye Examination ◽  
In Pregnancy ◽  
Subhyaloid Hemorrhage

Abstract Purpose: To report a pregnant patient with impaired vision due to macular involvement of valsalva retinopathy associated with subhyaloid hemorrhage, who was effectively treated with Nd:YAG laser hyaloidotomy and led to successful visual recovery.Case presentation: A thirty-year-old pregnant woman at 36-week gestational age was referred due to suddenly decreased visual acuity in her left eye following a severe vomiting. Left eye examination showed a dense large subhyaloid hemorrhage in front of macula extending from superior to inferior arcade with a clear media. With the diagnosis of subhyaloid hemorrhage she underwent Nd:YAG laser hyaloidotomy and visual acuity improved from hand motion to 20/20 after one week.Conclusion: In this report, Nd:YAG laser hyaloidotomy was shown to be effective and safe in treatment of dense subhyaloid hemorrhage in pregnant patients with Valsalva retinopathy.

Valsalva Retinopathy in Pregnancy: SD-OCT Features During and After Nd:YAG Laser Hyaloidotomy

2011 ◽  
Vol 42 (6) ◽  
Author(s):  
Anuradha Jayaprakasam ◽  
Rupa Matthew ◽  
Michael Toma ◽  
Malhar Soni
Keyword(s):  
Nd:Yag Laser ◽  
Valsalva Retinopathy ◽  
In Pregnancy ◽  
Sd Oct

Visual acuity outcomes in cytomegalovirus retinitis: early versus late diagnosis

2018 ◽  
Vol 102 (12) ◽  
pp. 1607-1610 ◽  
Author(s):  
Somsanguan Ausayakhun ◽  
Michael Yen ◽  
Choeng Jirawison ◽  
Sakarin Ausayakhun ◽  
Preeyanuch Khunsongkiet ◽  
...  
Keyword(s):  
Visual Acuity ◽  
Vision Loss ◽  
Cd4 Count ◽  
Hiv Care ◽  
Early Screening ◽  
Hand Motion ◽  
Cmv Retinitis ◽  
Eye Examination ◽  
Study Participants ◽  
Late Group

AimsTo determine if early dilated fundus examination for cytomegalovirus (CMV) retinitis leads to better visual outcomes in areas with limited HIV care, where patients may have long-standing retinitis before they are diagnosed with HIV.MethodsTwenty-four eyes of 17 patients with CMV retinitis who were seen at an urban HIV clinic in Chiang Mai, Thailand, were included in this retrospective cohort study. Participants were divided into two groups based on the amount of time from the first documented CD4 count below 100 cells/mm3 to the first eye examination for CMV retinitis. Average visual acuity in each group was calculated at the time CMV retinitis was first detected, and then at 3, 6 and 12 months after diagnosis.ResultsThe group of patients who received an eye examination within approximately 4 months of the initial low CD4 count measurement had better baseline visual acuity (median 20/30,IQR 20/20 to 20/60) compared with patients who presented later (median 20/80, 20/60 to hand motion); p=0.03). Visual acuity did not change significantly during the 12-month study period in either the early group (p=0.69) or late group (p=0.17).ConclusionIn this study, patients who were examined sooner after a low CD4 count had better vision than patients who were examined later. Routine early screening of patients with CD4 counts under below 100 cells/mm3 may detect earlier disease and prevent vision loss.

scholarly journals Nd:YAG Laser Photodisruption for Multilevel Premacular Hemorrhage due to Isolated Retinal Venous Macroaneurysm

2017 ◽  
Vol 2017 ◽  
pp. 1-4
Author(s):  
Kenan Sonmez ◽  
Pehmen Y. Ozcan
Keyword(s):  
Visual Acuity ◽  
Fluorescein Angiography ◽  
Laser Treatment ◽  
Nd:Yag Laser ◽  
Blood Cells ◽  
Internal Limiting Membrane ◽  
Hand Motion ◽  
First Case ◽  
The Right

A 55-year-old man presented with sudden deterioration of vision in the right eye. His visual acuity was reduced to hand motion because of a large multilevel premacular hemorrhage. Nd:YAG laser was performed to drain the entrapped hemorrhage under the internal limiting membrane (ILM) and posterior hyaloid face in the macula into the vitreous. Immediately after laser treatment, streaming of red blood cells into the vitreous gel through the perforation site was observed. At the first-month follow-up, BCVA improved to 20/25 and ILM wrinkling was observed at the macula where the preretinal hemorrhage cleared. Fluorescein angiography revealed an isolated retinal venous macroaneurysm located on the macular branch of the superotemporal vein at the bifurcation site. In contrast to retinal arterial macroaneurysms, retinal venous macroaneurysms are quite rare. To the best of our knowledge, this is the first case reported with multilevel premacular hemorrhage caused by an isolated retinal venous macroaneurysm.

Valsalva retinopathy: Long-term results and management strategies

2020 ◽  
pp. 112067212093617
Author(s):  
Selda Celik Dulger ◽  
Pınar Cakar Ozdal ◽  
Mehmet Yasin Teke
Keyword(s):  
Visual Acuity ◽  
Nd:Yag Laser ◽  
Management Strategies ◽  
Argon Laser ◽  
Long Term Results ◽  
Treatment Modalities ◽  
Conservative Approach ◽  
Valsalva Retinopathy

Purpose: To investigate the long-term results and efficacy of the treatment modalities for preretinal hemorrhage due to valsalva retinopathy. Methods: Retrospective review was conducted on 24 eyes of 24 patients with valsalva retinopathy who were treated between 2004 and 2019. These patients were treated with Nd:YAG laser, argon laser and vitrectomy or were only observed. Nd:YAG laser hyaloidotomy was performed in 10 eyes, argon laser was applied to two of those following failed Nd:YAG laser, and vitrectomy was performed in one eye. A conservative approach was adopted in 13 eyes. Results: There were 15 females and nine males with mean age of 41.08 ± 12.72 (21–65) years. Mean follow-up period was 42.83 ± 23.78 (range: 12–116) months. Patients with hemorrhage size smaller than or equal to 4-disc diameter were observed for spontaneous resorption and achieved 20/20 visual acuity within 6 months. Visual acuity of all patients treated with Nd:YAG and/or argon laser, increased within the first week after the treatment. Vitrectomy was performed in only one patient with hemorrhage located away from macula. The good visual outcomes were achieved in all treatment modalities. Conclusions: Observation, Nd:YAG laser and argon laser seem to be safe and effective approaches for eyes with valsalva retinopathy. The size, volume and duration of hemorrhage are the most crucial factors for treatment choice, success and complications.

scholarly journals Cannabinoid hyperemesis syndrome in the pregnant patient: clinical case and literature review

2020 ◽  
Vol 13 (1) ◽  
Author(s):  
Julien Flament ◽  
Nathan Scius ◽  
Henri Thonon
Keyword(s):  
Differential Diagnosis ◽  
Clinical Case ◽  
Pregnant Patient ◽  
Rapid Improvement ◽  
Case Presentation ◽  
Pregnancy And Childbirth ◽  
Cannabinoid Hyperemesis Syndrome ◽  
Return Home ◽  
Hot Baths ◽  
In Pregnancy

Abstract Background Cannabis use is on the rise. Several cases of cannabinoid hyperemesis syndrome, secondary to chronic cannabis intoxication, have been described worldwide, but few cases have described this entity in pregnant women. Case presentation We describe a 29-year-old pregnant patient that had consumed cannabis and experienced uncontrolled vomiting. The use of hot baths, the rapid improvement in symptoms, and results of complementary examinations suggested a diagnosis of cannabinoid hyperemesis syndrome. The patient could return home, and she continued her pregnancy and childbirth without peculiarities. Conclusion Cannabinoid hyperemesis syndrome should be considered in the differential diagnosis of vomiting in pregnancy. Consumption of cannabis must be systematically included in the anamnesis. However, it seems to be somewhat unacceptable socially or medically. Consumption must be stopped to manage symptoms.

Photodisruptive Nd:YAG Laser in the Management of Premacular Subhyaloid Hemorrhage

2001 ◽  
Vol 11 (3) ◽  
pp. 281-286 ◽  
Author(s):  
S. Çelebi ◽  
A.S. Kükner
Keyword(s):  
Visual Acuity ◽  
Laser Treatment ◽  
Nd:Yag Laser ◽  
Hand Movement ◽  
Vitreous Cavity ◽  
Rapid Improvement ◽  
Primary Vitrectomy ◽  
Benign Condition ◽  
The Mean ◽  
Subhyaloid Hemorrhage

Purpose Premacular subhyaloid hemorrhage is usually a benign condition that generally improves spontaneously and rarely causes visual loss. However, because the hemorrhage may cause permanent macular changes before it resolves, Nd:YAG laser posterior hyaloidotomy may be indicated in selected cases. This study investigated the effects of drainage of premacular subhyaloid hemorrhage into the vitreous with Nd:YAG laser treatment. Methods This study was conducted between February 1996 and March 1999. Six patients had a circumscribed premacular hemorrhage in one eye and were treated with the Nd:YAG laser to drain the blood into the vitreous cavity. The hemorrhage originated from Valsalva retinopathy (2 cases), proliferative diabetic retinopathy (2 cases), central retinal vein occlusion (1 case), and blunt ocular trauma (1 case). The size of the hemorrhage is expressed in disc diameters. Results The mean pretreatment hemorrhage measured 5.7 disc diameters (range 3.5–8.0). Visual acuity in all cases before laser treatment was hand movement. After laser treatment, the hemorrhage instantly drained into the vitreous cavity, resulting in rapid improvement of vision. Drainage was complete within one week and visual acuity improved dramatically. The mean follow-up was 26.3 months (range 7–42 months). No retinal damage or rebleeding occurred due to the laser treatment, and vitrectomy was not required in any eye. Conclusions Nd:YAG laser posterior hyaloidotomy may be useful for draining a premacular hemorrhage into the vitreous cavity in selected cases. To establish this as a routine procedure, a randomized prospective study is needed to compare observation, primary vitrectomy, and Nd:YAG laser treatment.

scholarly journals Cannabinoid Syndrome in the Pregnant Patient: Clinical Case and Literature Review

2020 ◽  
Author(s):  
Julien Flament ◽  
Nathan Scius ◽  
Henri Thonon
Keyword(s):  
Differential Diagnosis ◽  
Literature Review ◽  
Clinical Case ◽  
Pregnant Patient ◽  
Rapid Improvement ◽  
Case Presentation ◽  
Pregnancy And Childbirth ◽  
Return Home ◽  
Hot Baths ◽  
In Pregnancy

Abstract Background:Cannabis use is on the rise. Several casesof cannabinoid syndrome, secondary to chronic cannabis intoxication, have been described worldwide, but few cases have described this entity in pregnant women. Case presentation: We describe a 29-year-old pregnant patient that had consumed cannabis and experienced uncontrolled vomiting. The use of hot baths, the rapid improvement in symptoms, and results of complementary examinations suggested a diagnosis of cannabinoid syndrome. The patient could return home and she continued her pregnancy and childbirth without peculiarities. Conclusion:Cannabinoid syndrome should be considered in the differential diagnosis of vomiting in pregnancy. Consumption of cannabis must be systematically included in the anamnesis. However, it seems to be somewhatunacceptable socially or medically. Consumption must be stopped to manage symptoms.

scholarly journals Cannabinoid Hyperemesis Syndrome in the pregnant patient: clinical case and literature review

2020 ◽  
Author(s):  
Julien Flament ◽  
Nathan Scius ◽  
Henri Thonon
Keyword(s):  
Differential Diagnosis ◽  
Clinical Case ◽  
Pregnant Patient ◽  
Rapid Improvement ◽  
Case Presentation ◽  
Pregnancy And Childbirth ◽  
Cannabinoid Hyperemesis Syndrome ◽  
Return Home ◽  
Hot Baths ◽  
In Pregnancy

Abstract Background Cannabis use is on the rise. Several cases of cannabinoid hyperemesis syndrome, secondary to chronic cannabis intoxication, have been described worldwide, but few cases have described this entity in pregnant women. Case presentation We describe a 29-year-old pregnant patient that had consumed cannabis and experienced uncontrolled vomiting. The use of hot baths, the rapid improvement in symptoms, and results of complementary examinations suggested a diagnosis of cannabinoid hyperemesis syndrome. The patient could return home and she continued her pregnancy and childbirth without peculiarities. Conclusion Cannabinoid hyperemesis syndrome should be considered in the differential diagnosis of vomiting in pregnancy. Consumption of cannabis must be systematically included in the anamnesis. However, it seems to be somewhat unacceptable socially or medically. Consumption must be stopped to manage symptoms.

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