title: YAG Laser Membranotomy for Subinternal Limiting Membrane Hemorrhage.
abstract: OBJECTIVE
  To report the use of neodymium:yttrium-aluminum-garnet (Nd:YAG) laser internal limiting membranotomy to successfully treat the first reported case of subinternal limiting membrane (sub-ILM) hemorrhage that developed after coil embolization of a cerebral aneurysm.
  
  
  METHODS
  A 59-year-old Korean woman visited our clinic complaining of central scotoma in her left eye, which developed shortly after stent-assisted coil embolization of an unruptured internal carotid artery aneurysm. Fundus examination revealed a sub-ILM hemorrhage in her left eye, and after 2 days, a Nd:YAG laser membranotomy was performed with a single 4.5-mJ burst. There was a marked reduction in the sub-ILM hemorrhage 1 day after Nd:YAG laser membranotomy, and after 1 month, her best-corrected visual acuity improved to 20/20, with complete resolution of the sub-ILM hemorrhage.
  
  
  CONCLUSIONS
  Sub-ILM hemorrhage can develop after coil embolization of a cerebral aneurysm, and Nd:YAG laser internal limiting membranotomy can be a useful noninvasive treatment alternative to surgical intervention.
authors.affiliation: *MD Department of Ophthalmology, Gangnam Severance Hospital, Yonsei University College of Medicine, Gangnam-gu, Seoul, Korea (MK, JSK, YS); and Institute of Vision Research, Department of Ophthalmology, Severance Hospital, Yonsei University College of Medicine, Seodaemun-gu, Seoul, Korea (HJK, SCL).
authors.forename: Min
authors.initials: M
authors.lastname: Kim
authors.forename: Jin Sun
authors.initials: JS
authors.lastname: Kim
authors.forename: Yuri
authors.initials: Y
authors.lastname: Seo
authors.forename: Hyoung Jun
authors.initials: HJ
authors.lastname: Koh
authors.forename: Sung Chul
authors.initials: SC
authors.lastname: Lee
mesh_terms: D000783:Aneurysm / Q000628:therapy; D002343:Carotid Artery, Internal; D004621:Embolization, Therapeutic / Q000009:adverse effects; D019773:Epiretinal Membrane / Q000175:diagnosis / Q000209:etiology / Q000601:surgery*; D005260:Female; D005451:Fluorescein Angiography; D005654:Fundus Oculi; D006801:Humans; D053685:Laser Therapy; D053844:Lasers, Solid-State / Q000627:therapeutic use*; D008875:Middle Aged; D012166:Retinal Hemorrhage / Q000175:diagnosis / Q000209:etiology / Q000601:surgery*; D012607:Scotoma / Q000601:surgery; D041623:Tomography, Optical Coherence; D014792:Visual Acuity / Q000502:physiology