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YAG Laser Membranotomy for Subinternal Limiting Membrane Hemorrhage

Authors
 Min Kim  ;  Jin Sun Kim  ;  Yuri Seo  ;  Hyoung Jun Koh  ;  Sung Chul Lee 
Citation
 OPTOMETRY AND VISION SCIENCE, Vol.92(7) : e154-e157, 2015 
Journal Title
 OPTOMETRY AND VISION SCIENCE 
ISSN
 1040-5488 
Issue Date
2015
MeSH
Aneurysm/therapy ; Carotid Artery, Internal ; Embolization, Therapeutic/adverse effects ; Epiretinal Membrane/diagnosis ; Epiretinal Membrane/etiology ; Epiretinal Membrane/surgery* ; Female ; Fluorescein Angiography ; Fundus Oculi ; Humans ; Laser Therapy* ; Lasers, Solid-State/therapeutic use* ; Middle Aged ; Retinal Hemorrhage/diagnosis ; Retinal Hemorrhage/etiology ; Retinal Hemorrhage/surgery* ; Scotoma/surgery ; Tomography, Optical Coherence ; Visual Acuity/physiology
Keywords
YAG laser ; sub-ILM hemorrhage ; internal limiting membranotomy ; coil embolization of cerebral aneurysm
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.
Full Text
http://ovidsp.ovid.com/ovidweb.cgi?T=JS&CSC=Y&NEWS=N&PAGE=fulltext&AN=00006324-201507000-00017&LSLINK=80&D=ovft
DOI
10.1097/OPX.0000000000000621
Appears in Collections:
1. College of Medicine (의과대학) > Dept. of Ophthalmology (안과학교실) > 1. Journal Papers
Yonsei Authors
Koh, Hyoung Jun(고형준) ORCID logo https://orcid.org/0000-0002-5932-8516
Kim, Min(김민) ORCID logo https://orcid.org/0000-0003-1873-6959
Kim, Jin Sun(김진선)
Seo, Yuri(서유리)
Lee, Sung Chul(이성철) ORCID logo https://orcid.org/0000-0001-9438-2385
URI
https://ir.ymlib.yonsei.ac.kr/handle/22282913/156855
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