Nd:YAG laser hyaloidotomy for valsalva pre-macular haemorrhage.

Hdl Handle:
http://hdl.handle.net/10147/207757
Title:
Nd:YAG laser hyaloidotomy for valsalva pre-macular haemorrhage.
Authors:
Kirwan, R P; Cahill, M T
Affiliation:
Department of Ophthalmic Surgery, The Royal Victoria Eye and Ear Hospital,, Adelaide Road, Dublin 2, Ireland. ruaidhri.kirwan@ucd.ie
Citation:
Ir J Med Sci. 2011 Sep;180(3):749-52. Epub 2009 Jun 3.
Journal:
Irish journal of medical science
Issue Date:
1-Feb-2012
URI:
http://hdl.handle.net/10147/207757
DOI:
10.1007/s11845-009-0355-z
PubMed ID:
19495839
Abstract:
AIM: To report a case of successful drainage of a large pre-macular haemorrhage using laser photo-disruption of the posterior hyaloid membrane. MATERIALS AND METHODS: A case report. RESULTS: A 47-year-old man presented acutely to our emergency department complaining of a 24-h history of sudden onset, painless and persistent loss of vision in his left eye. Immediately before noticing this loss of vision, he had been vomiting violently from excessive alcohol intake. The left visual acuity was counting fingers. Dilated fundoscopy of the left eye revealed a large pre-macular haemorrhage which was 14 disc diametres in size. Clotting investigations were normal. A diagnosis of valsalva retinopathy was made and the patient elected to receive a prompt neodymium-doped yttrium aluminium garnet (Nd:YAG) laser posterior hyaloidotomy as an outpatient. At 1 week follow-up, the haemorrhage had drained completely into the vitreous space revealing a healthy macula and the visual acuity had improved to 6/12 unaided. At 6-month follow-up the left visual acuity stabilised at 6/9 unaided. CONCLUSION: Nd:YAG laser posterior hyaloidotomy is a useful outpatient procedure for successful clearance of large pre-macular haemorrhages that offers patients rapid recovery of visual acuity and the avoidance of more invasive intraocular surgery.
Language:
eng
MeSH:
Drainage/*methods; Hemorrhage/etiology/*surgery; Humans; *Laser Therapy; *Lasers, Solid-State; Male; Middle Aged; Pressure; Valsalva Maneuver; Visual Acuity; Vomiting/*complications
ISSN:
1863-4362 (Electronic); 0021-1265 (Linking)

Full metadata record

DC FieldValue Language
dc.contributor.authorKirwan, R Pen_GB
dc.contributor.authorCahill, M Ten_GB
dc.date.accessioned2012-02-01T10:40:19Z-
dc.date.available2012-02-01T10:40:19Z-
dc.date.issued2012-02-01T10:40:19Z-
dc.identifier.citationIr J Med Sci. 2011 Sep;180(3):749-52. Epub 2009 Jun 3.en_GB
dc.identifier.issn1863-4362 (Electronic)en_GB
dc.identifier.issn0021-1265 (Linking)en_GB
dc.identifier.pmid19495839en_GB
dc.identifier.doi10.1007/s11845-009-0355-zen_GB
dc.identifier.urihttp://hdl.handle.net/10147/207757-
dc.description.abstractAIM: To report a case of successful drainage of a large pre-macular haemorrhage using laser photo-disruption of the posterior hyaloid membrane. MATERIALS AND METHODS: A case report. RESULTS: A 47-year-old man presented acutely to our emergency department complaining of a 24-h history of sudden onset, painless and persistent loss of vision in his left eye. Immediately before noticing this loss of vision, he had been vomiting violently from excessive alcohol intake. The left visual acuity was counting fingers. Dilated fundoscopy of the left eye revealed a large pre-macular haemorrhage which was 14 disc diametres in size. Clotting investigations were normal. A diagnosis of valsalva retinopathy was made and the patient elected to receive a prompt neodymium-doped yttrium aluminium garnet (Nd:YAG) laser posterior hyaloidotomy as an outpatient. At 1 week follow-up, the haemorrhage had drained completely into the vitreous space revealing a healthy macula and the visual acuity had improved to 6/12 unaided. At 6-month follow-up the left visual acuity stabilised at 6/9 unaided. CONCLUSION: Nd:YAG laser posterior hyaloidotomy is a useful outpatient procedure for successful clearance of large pre-macular haemorrhages that offers patients rapid recovery of visual acuity and the avoidance of more invasive intraocular surgery.en_GB
dc.language.isoengen_GB
dc.subject.meshDrainage/*methodsen_GB
dc.subject.meshHemorrhage/etiology/*surgeryen_GB
dc.subject.meshHumansen_GB
dc.subject.mesh*Laser Therapyen_GB
dc.subject.mesh*Lasers, Solid-Stateen_GB
dc.subject.meshMaleen_GB
dc.subject.meshMiddle Ageden_GB
dc.subject.meshPressureen_GB
dc.subject.meshValsalva Maneuveren_GB
dc.subject.meshVisual Acuityen_GB
dc.subject.meshVomiting/*complicationsen_GB
dc.titleNd:YAG laser hyaloidotomy for valsalva pre-macular haemorrhage.en_GB
dc.contributor.departmentDepartment of Ophthalmic Surgery, The Royal Victoria Eye and Ear Hospital,, Adelaide Road, Dublin 2, Ireland. ruaidhri.kirwan@ucd.ieen_GB
dc.identifier.journalIrish journal of medical scienceen_GB
dc.description.provinceLeinster-

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