Abstract | PURPOSE: 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.
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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)
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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)
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