Nd:YAG laser membranotomy in treatment of pre-macular hemorrhage in Valsalva retinopathy Opis przypadku

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Angelina Papeczyc
Daniel Czyżewski
Adam Chmiel
Małgorzata Frankowska-Gierlak

Abstrakt

A 37-year-old patient was admitted to the ophthalmology department due to sudden vision deterioration in the right eye, preceded by vomiting two days earlier. Visual acuity was found at the level of counting fingers at 3 m. Fundus examination revealed a large pre-macular hemorrhage covering the entire area between the arcades. Based on clinical presentation, history, and imaging studies, a diagnosis of Valsalva retinopathy was made. With the patient’s consent, Nd:YAG laser treatment was performed on the lower part of the hemorrhage, resulting in blood displacement into the vitreous body and significant improvement in visual acuity to 0.6 BVCA immediately post-procedure.

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Jak cytować
1.
Papeczyc A, Czyżewski D, Chmiel A, Frankowska-Gierlak M. Nd:YAG laser membranotomy in treatment of pre-macular hemorrhage in Valsalva retinopathy. Ophthatherapy [Internet]. 31 marzec 2025 [cytowane 6 sierpień 2025];12(1):69-3. Dostępne na: https://www.journalsmededu.pl/index.php/ophthatherapy/article/view/3115
Dział
Chirurgia i laseroterapia

Bibliografia

1. De Maeyer K, Van Ginderdeuren R, Postelmans L. Sub-inner limiting membrane haemorrhage: Causes and treatment with vitrectomy. Br J Ophthalmol. 2007; 91: 869-72. https://doi.org/10.1136/bjo.2006.109132.
2. Forshaw TRJ, Solborg Bjerrum S, Larsen M. Valsalva retinopathy in the absence of Valsalva manoeuvre: A variant of haemorrhagic unilateral retinopathy. Acta Ophthalmologica. 2023; 102: 122-3. https://doi.org/10.1111/aos.15781.
3. Durukan AH, Kerimoglu H, Erdurman C. Long-term results of Nd:YAG laser treatment for premacular subhyaloid haemorrhage owing to Valsalva retinopathy. Eye. 2006; 22: 214-8. https://doi.org/10.1038/sj.eye.6702574.
4. Duane TD. Valsalva Hemorrhagic Retinopathy. Am J Ophthalmol. 1973; 75: 637-42. https://doi.org/10.1016/0002-9394(73)90815-5.
5. Khadka D, Bhandari S, Bajimaya S. Nd:YAG laser hyaloidotomy in the management of Premacular Subhyaloid Hemorrhage. BMC Ophthalmology. 2016; 16: 41. https://doi.org/10.1186/s12886-016-0218-0.
6. Malov IA. Yag-laser hyaloidotomy in the treatment of premacular hemorrhages. Reflection. 2019; 8: 28-31. https://doi.org/10.25276/2686-6986-2019-1-28-31.
7. Waikar S, Srivastava VK. Valsalva retinopathy in a young healthy individual. Med J Armed Forces India. 2013; 69: 193-5. https://doi.org/10.1016/j.mjafi.2012.04.015.
8. Mathew DJ, Sarma SK. Valsalva retinopathy with double ring sign: Laser membranotomy for twin bleeds. Saudi J Ophthalmol. 2016; 30: 68-70. https://doi.org/10.1016/j.sjopt.2015.10.003.
9. Kováčová M, Kousal B, Mališka M. Treatment Options for Premacular and Sub-Internal Limiting Membrane Haemorrhage. Cesk Slov Oftalmol. 2021; 77: 288-92. https://doi.org/10.31348/2021/34.
10. Wu T-T, Kung Y-H, Lin C-S. Non-vitrectomizing vitreous surgery and adjuvant intravitreal tissue plasminogen activator for non-recent massive premacular hemorrhage. J Chin Med Assoc. 2011; 74: 574-8. https://doi.org/10.1016/j.jcma.2011.08.007.
11. Ulbig MW. Long-term Results After Drainage of Premacular Subhyaloid Hemorrhage Into the Vitreous With a Pulsed Nd:YAG Laser. Arch Ophthalmol. 1998; 116: 1465. https://doi.org/10.1001/archopht.116.11.1465.