Abstract:Objective To report ten cases of premacular hemorrhage secondary to Valsalva retinopathy treated with Nd:YAG laser membranotomy and discuss techniques as well as the literature data.Methods Ten cases (10 eyes) of premacular hemorrhage secondary to Valsalva retinopathy were treated with Nd:YAG laser membranotomy. Power settings ranged from 3.0 to 4.8 mJ. Best-corrected visual acuity and intraocular pressure were measured.Results Visual acuity at presentation ranged from hand motion (6 patients) to counting fingers (4 patients). Visual acuity improved to 0.1 to 0.5 after laser treatment. Final visual acuity ranged from 0.8 to 1.2. No complications were noted.Conclusions Nd:YAG laser membranotomy is a non-invasive treatment option that may be successfully used to treat premacular hemorrhage secondary to Valsalva retinopathy.
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