Nadeem Qureshi, Mohammad Abbas, Nadeem Ishaque, Mohammad Mumtaz Chaudhry, Mustafa Hameed.
Neodymium: YAG laser treatment for dense premacular subhyaloid hemorrhage.
J Liaquat Uni Med Health Sci Jan ;7(1):34-6.

Objective: To assess the efficacy of Neodymium: YAG laser membranotomy and posterior hyaloidotomy in achieving rapid intravitreal drainage of dense premacular hemorrhage and rapid visual rehabilitation. Methods: Eight eyes of eight patients had Nd: YAG laser treatment to release trapped hemorrhage overlying the macula. Two to five laser membranotomies were performed. Colored fundus photographs were taken. Patient with diabetes had panretinal photocoagulation prior to YAG laser treatment. Results: The premacular hemorrhage originated from proliferative diabetic retinopathy in four eyes, from a retinal macroaneurysm in two eyes, from leukemic retinopathy one eye and from valsalva retinopathy in one eye. Complete intravitreal dispersion was achieved in all eyes within one week with marked improvement of vision. One diabetic eye showed less improvement in vision due to diffuse dispersion of hemorrhage in the vitreous. Conclusion: Nd: YAG laser membranotomy seems helpful in rapid clearing of premacular hemorrhage and improvement of vision in certain eyes.

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