Sub-retinal hemorrhage during internal limiting membrane peeling for a macular hole.
OBJECTIVE
To report the occurrence of sub-retinal hemorrhage during peeling of the internal limiting membrane (ILM).


METHODS
In case 1, a three-port pars plana vitrectomy was performed on a 57-year-old woman with a macular hole. Following the staining of the ILM with indocyanine green, the ILM was peeled with forceps, and a sub-retinal and vitreous hemorrhage resulted from a vein during the peeling. The bleeding was stopped by elevating the intraocular pressure. The final visual acuity was 20/30. In case 2, similar procedures were performed on a 68-year-old woman with a macular hole. A sub-retinal hemorrhage occurred while peeling the ILM. The pre-operative visual acuity was 20/300, and final visual acuity was 20/200.


CONCLUSIONS
Surgeons should be aware that sub-retinal and vitreous hemorrhage can be a complication of ILM peeling.
Cole Eye Institute, i3-185, The Cleveland Clinic Foundation, 9500 Euclid Avenue, Cleveland, OH 44195, USA. nakatak@ccf.org.|Department of Ophthalmology, Room E7, Osaka University Medical School, 2-2 Yamadaoka, 565-0871, Suita , Japan. nakatak@ccf.org.
Ko
K
Nakata
Department of Ophthalmology, Room E7, Osaka University Medical School, 2-2 Yamadaoka, 565-0871, Suita , Japan.
Masahito
M
Ohji
Department of Ophthalmology, Room E7, Osaka University Medical School, 2-2 Yamadaoka, 565-0871, Suita , Japan.
Yasushi
Y
Ikuno
Department of Ophthalmology, Room E7, Osaka University Medical School, 2-2 Yamadaoka, 565-0871, Suita , Japan.
Shunji
S
Kusaka
Department of Ophthalmology, Room E7, Osaka University Medical School, 2-2 Yamadaoka, 565-0871, Suita , Japan.
Fumi
F
Gomi
Department of Ophthalmology, Room E7, Osaka University Medical School, 2-2 Yamadaoka, 565-0871, Suita , Japan.
Yasuo
Y
Tano
D000368:Aged; D019773:Epiretinal Membrane / Q000601:surgery*; D005260:Female; D006801:Humans; D007431:Intraoperative Complications; D008875:Middle Aged; D011184:Postoperative Period; D012166:Retinal Hemorrhage / Q000209:etiology* / Q000473:pathology; D012167:Retinal Perforations / Q000503:physiopathology / Q000601:surgery*; D014792:Visual Acuity; D014821:Vitrectomy / Q000009:adverse effects*