Korean J Ophthalmol.  2015 Dec;29(6):437-438. 10.3341/kjo.2015.29.6.437.

Argon Green Laser for Valsalva Retinopathy Treatment and Long-term Follow-up of the Internal Limiting Membrane Changes in Optical Coherence Tomography

• Tirhis H
• Caglar C
• Yilmazbas
• Anayol MA
• Sekeroglu

• KMID: 2363854
• DOI: http://doi.org/10.3341/kjo.2015.29.6.437

Abstract

No abstract available.

MeSH Terms

Adult
Basement Membrane/*pathology
Follow-Up Studies
Humans
Laser Coagulation/*methods
Lasers, Gas/*therapeutic use
Male
Retinal Hemorrhage/diagnosis/etiology/*surgery
Tomography, Optical Coherence
*Valsalva Maneuver
Vitreous Hemorrhage/diagnosis/etiology/*surgery

Figure

• 

  Fig. 1 (A) Fundus photograph of the right eye showed a huge sub-internal limiting membrane (ILM) hemorrhage in the temporal macular area. (B) Spectral domain optic coherence tomography (OCT) revealed a dome-shaped hypo-reflective area, consistent with blood beneath a hyper-reflective band at the macula. (C) Spectral domain OCT reveals two distinct membranes: the more apparent and reflective one was identified as ILM (red arrow), and the other slight and patched membrane was identified as posterior hyaloid (yellow arrow). (D) The hemorrhage was drained inferiorly after the argon laser procedure. (E) Fundus photograph reveals strong resolution of the hemorrhage after three weeks. (F,G) OCT reveals laser perforation points along the ILM and hyaloid after three weeks. (H) There was no hemorrhage in fundus photograph after two years. (I) Pseudo-hole and no reattachment of ILM are observed in the temporal macular area in the last OCT. (J) OCT reveals that the detached ILM was attached to the posterior hyaloid and formation of no epiretinal membrane after two years.

Reference

1. Schuman JS, Puliafito CA, Fujimoto JG, editors. Optical coherence tomography of ocular diseases. 2nd ed. Thorofare: Slack;2004. p. 1–698.

2. Meyer CH, Mennel S, Rodrigues EB, Schmidt JC. Is the location of valsalva hemorrhages submembranous or subhyaloidal? Am J Ophthalmol. 2006; 141:231.

3. Shukla D, Naresh KB, Kim R. Optical coherence tomography findings in valsalva retinopathy. Am J Ophthalmol. 2005; 140:134–136.

4. Goel N, Kumar V, Seth A, et al. Spectral-domain optical coherence tomography following Nd:YAG lasermembranotomy in valsalva retinopathy. Ophthalmic Surg Lasers Imaging. 2011; 42:222–228.