Traumatic subhyaloid macular hemorrhage with complete resolution following Neodymium-Doped Yttrium Aluminium Garnet Laser

• Main Authors: Motazz A. Alarfaj, Abdulmajeed A. Hasen, Saeed S. Al-Yami
• Format: Article
• Language: English
• Published: Elsevier 2018-03-01
• Series: American Journal of Ophthalmology Case Reports
• Subjects: Subhyaloid hemorrhage; Hyaloidotomy; Nd:YAG laser; Trauma; Visual acuity; Sudden vision loss
• Online Access: http://www.sciencedirect.com/science/article/pii/S2451993617302001

Purpose: To report a case of traumatic subhyaloid macular hemorrhage with severe sudden vision loss treated successfully with Neodymium-Doped Yttrium Aluminium Garnet Laser (Nd:YAG laser). Observations: A 16-year-old boy presented to the eye clinic with acute vision loss secondary to blunt trauma by a stone to his left eye 3 days prior to consultation that caused subhyaloid macular hemorrhage. Nd:YAG laser was performed to open the hyaloid membrane and allow the blood to diffuse into the vitreous cavity and be absorbed. The patient demonstrated complete recovery as his visual acuity went from counting fingers to 20/20 within 20 days. No complications due to the treatment were reported. Conclusions and importance: To the best of our knowledge, there have been no reported cases of subhyaloid macular hemorrhage treated with Nd:YAG laser in which the etiology was trauma and showed full, rapid recovery with no sequelae.