YAG Laser Membranotomy for Subinternal Limiting Membrane Hemorrhage.

Abstract

PURPOSE:

To report the use of neodymium:yttrium-aluminum-garnet (Nd:YAG) laser internal limiting membranotomy to successfully treat the first reported case of subinternal limiting membrane (sub-ILM) hemorrhage that developed after coil embolization of a cerebral aneurysm.

CASE REPORT:

A 59-year-old Korean woman visited our clinic complaining of central scotoma in her left eye, which developed shortly after stent-assisted coil embolization of an unruptured internal carotid artery aneurysm. Fundus examination revealed a sub-ILM hemorrhage in her left eye, and after 2 days, a Nd:YAG laser membranotomy was performed with a single 4.5-mJ burst. There was a marked reduction in the sub-ILM hemorrhage 1 day after Nd:YAG laser membranotomy, and after 1 month, her best-corrected visual acuity improved to 20/20, with complete resolution of the sub-ILM hemorrhage.

CONCLUSIONS:

Sub-ILM hemorrhage can develop after coil embolization of a cerebral aneurysm, and Nd:YAG laser internal limiting membranotomy can be a useful noninvasive treatment alternative to surgical intervention.

• Authors: Min Kim, Jin Sun Kim, Yuri Seo, Hyoung Jun Koh, Sung Chul Lee
• Journal: Optometry and vision science : official publication of the American Academy of Optometry (Optom Vis Sci) Vol. 92 Issue 7 Pg. e154-7 (Jul 2015) ISSN: 1538-9235 [Electronic] United States
• PMID: 26002008 (Publication Type: Case Reports, Journal Article)

Topics

• Aneurysm (therapy)
• Carotid Artery, Internal
• Embolization, Therapeutic (adverse effects)
• Epiretinal Membrane (diagnosis, etiology, surgery)
• Female
• Fluorescein Angiography
• Fundus Oculi
• Humans
• Laser Therapy
• Lasers, Solid-State (therapeutic use)
• Middle Aged
• Retinal Hemorrhage (diagnosis, etiology, surgery)
• Scotoma (surgery)
• Tomography, Optical Coherence
• Visual Acuity (physiology)