Management of Macular Pre-Retinal Subhyaloid hemorrhage by Nd:Yag laser hyaloidotomy.
OBJECTIVE
To evaluate the efficacy, visual outcome and complication following Nd:Yag laser hyaloidtomy for subhyaloid hemorrhage.


METHODS
This interventional case series was managed at LRBT, Free Base Eye Hospital Karachi from January 2010 to December 2010. It included 30 eyes of 30 patients with subhyaloid hemorrhage due to different causes which underwent Nd: Yag laser sublyaloidotomy Results: Out of thirty patients, eighteen (60%) were male and twelve (40%) were females. Mean age was 32.57 years. Males pre-dominated the study. Pre laser visual acuity was between counting finger at one meter in 22 patients (73.33%) and between counting finger one meter to hand movement in 8 patients (26.66%). Vision improved to 6/6 in 10 patients (33%), 6/9 - 6/12 in 17 patients (56.66%) and between 6/24 - 6/60 in 3 patients (9.99%) at the end of follow up. Complications were persistent vitreous hemorrhage in one (3.33%) patient, failed drainage in one (3.33%) patient and metamorphopsia in one (3.33%) patient.


CONCLUSIONS
Nd: Yag laser hyloidotomy is an excellent technique for management of Subhyaloid hemorrhage with early visual recovery provided there is no macular pathology.
Dr. Faisal Murtaza, MBBS, MCPS, FCPS, FRCS, Consultant Ophthalmologist, L.R.B.T Free Base Eye Hospital, Korangi no. 2 ½, Karachi, Pakistan.
Faisal
F
Murtaza
Dr. Syed Fawad Rizvi, MBBS, MCPS, FCPS, Chief Consultant Ophthalmologist, L.R.B.T Free Base Eye Hospital, Korangi no. 2 ½, Karachi, Pakistan.
Syed Fawad
SF
Rizvi
Dr. Syeda Aisha Bokhari, MBBS, FCPS, Ophthalmologist, L.R.B.T Free Base Eye Hospital, Korangi no. 2 ½, Karachi, Pakistan.
Syeda Aisha
SA
Bokhari
Dr. Zeeshan Kamil, MBBS, MCPS, FCPS, Ophthalmologist, L.R.B.T Free Base Eye Hospital, Korangi no. 2 ½, Karachi, Pakistan.
Zeeshan
Z
Kamil
Nd-YAG laser; Subhyaloid Hemorrhage