Full-thickness retinal hole after nd:yag laser hyaloidotomy treatment of subhyaloid hemorrhage secondary to valsalva maneuver

A 27-year-old male was presented with a sudden onset of visual loss in his right eye. A secondary care center referred the patient with fundus photographs which were screened 4 days before and after the Nd: YAG laser hyaloidotomy treatment. Snellen acuity was 10/10 in both eyes. Fundus examinations revealed a retinal pigment epithelium (RPE) alteration at the margin of the inferior temporal arterial vascular arcade in the right eye and resolved preretinal and subretinal hemorrhages were seen in the macula. A diagnosis of Valsalva retinopathy was made based on the history and the treatment photographs of Nd:YAG laser hyaloidotomy. At 1st month examination all hemorrhages were resolved but RPE alterations were still at the margin of the inferior temporal arterial vascular arcade. The optical coherence tomography angiography (OCTA) images revealed 2 lesions. On en face OCT angiogram of OCTA full thickness retinal hole formation and ellipsoid zone damage at the superior and inferior margin of the inferior temporal arterial vascular arcade were seen. Superficial vascular plexus was also damaged at that region. The projection of the evacuation of blood from subhyaloid space and the full thickness retinal hole formation were the same, indicating that the partial and full thickness retinal holes were created by the laser treatment.

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Optical coherence tomography and acute localized paracentral retinal detachment with full-thickness retinal hole

Canadian Journal of Ophthalmology ◽

10.3129/i07-208 ◽

2008 ◽

Vol 43 (1) ◽

pp. 127-128

Author(s):

Roman Windisch ◽

Ann Hoskin-Mott

Keyword(s):

Optical Coherence Tomography ◽

Retinal Detachment ◽

Optical Coherence ◽

Full Thickness ◽

Retinal Hole

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Long-term Results After Drainage of Premacular Subhyaloid Hemorrhage Into the Vitreous With a Pulsed Nd:YAG Laser

Archives of Ophthalmology ◽

10.1001/archopht.116.11.1465 ◽

1998 ◽

Vol 116 (11) ◽

pp. 1465 ◽

Cited By ~ 82

Author(s):

Michael W. Ulbig

Keyword(s):

Nd:Yag Laser ◽

Long Term Results ◽

Pulsed Nd:Yag Laser ◽

Subhyaloid Hemorrhage

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

10.21203/rs.3.rs-126626/v1 ◽

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.

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