September 2016
Volume 57, Issue 12
Open Access
ARVO Annual Meeting Abstract  |   September 2016
Visual and Anatomical Outcomes Following Nd:Yag Laser Hyaloidotomy for Premacular Hemorrhage
Author Affiliations & Notes
  • Sawsan R Nowilaty
    King Khaled Eye Specialist Hospital, Riyadh, Saudi Arabia
  • Maha Alshehri
    King Khaled Eye Specialist Hospital, Riyadh, Saudi Arabia
  • Nicola G Ghazi
    Cleveland Clinic Abu Dhabi, Abu Dhabi, United Arab Emirates
  • Footnotes
    Commercial Relationships   Sawsan Nowilaty, None; Maha Alshehri , None; Nicola Ghazi, None
  • Footnotes
    Support  None
Investigative Ophthalmology & Visual Science September 2016, Vol.57, 4485. doi:
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    • Get Citation

      Sawsan R Nowilaty, Maha Alshehri, Nicola G Ghazi; Visual and Anatomical Outcomes Following Nd:Yag Laser Hyaloidotomy for Premacular Hemorrhage. Invest. Ophthalmol. Vis. Sci. 2016;57(12):4485.

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      © ARVO (1962-2015); The Authors (2016-present)

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Abstract

Purpose : To evaluate the visual and anatomical outcomes of Nd:YAG laser hyaloidotomy in the management of premacular hemorrhage of different etiologies

Methods : Retrospective review of 32 eyes diagnosed with premacular hemorrhage secondary to a variety of causes that underwent Nd:YAG laser hyaloidotomy for drainage of the premacular hemorrhage. The presenting Snellen visual acuity, duration of symptoms, Nd: YAG laser parameters as well as postoperative visual acuity and complications were recorded.

Results : Twenty-two patients were males (70 %) and 10 were females (30%). The mean age group was 42 years and the mean duration of the symptoms was 19.24 days. The cause of preretinal hemorrhage was proliferative diabetic retinopathy in 17 eyes (53.13 %), valsalva retinopathy in 7 (21.9 %), laser pointer injury in 6 (18.75%) and ruptured arterial macroaneurysm in 2 (6.25%). Following hyaloidotomy, failure of drainage of premacular hemorrhage into the vitreous cavity occurred in only 2 eyes (6.25%). Visual acuity postoperatively improved in 25 eyes (78.13 %), remained the same in 6 (18.75 %) and worsened in 1 (3.13 %). The mean Snellen visual acuity improved from 20/300 preoperatively to 20/80 postoperatively. Postoperative complications included the development of dense non-clearing vitreous hemorrhage in 4 eyes (12.5 %) as well as RPE changes, internal limiting membrane folds and ERM, each in 1 eye (3.13 %). In total, 6 eyes required vitrectomy: 4 for dense non-clearing vitreous hemorrhage and 2 for failure of drainage of the premacular hemorrhage into the vitreous cavity. Five of these had proliferative diabetic retinopathy as the cause of the premacular hemorrhage.

Conclusions : Nd:YAG laser hyaloidotomy is an effective treatment modality for premacular hemorrhage. For premacular hemorrhage secondary to proliferative diabetic retinopathy, Nd:YAG laser seems to be less effective and vitrectomy may be needed in about a third of such cases.

This is an abstract that was submitted for the 2016 ARVO Annual Meeting, held in Seattle, Wash., May 1-5, 2016.

 

Premacular Hemorrhage at Presentation

Premacular Hemorrhage at Presentation

 

Premacular Hemorrhage after YAG Hyaloidotomy

Premacular Hemorrhage after YAG Hyaloidotomy

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