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Photo Essay
October 2006

Delayed Nd:YAG Laser Membranotomy for Traumatic Premacular Hemorrhage

Arch Ophthalmol. 2006;124(10):1503. doi:10.1001/archopht.124.10.1503

A 42-year-old man was initially seen with a posttraumatic central scotoma in his left eye. His visual acuity was 20/20 OD and counting fingers OS. Fundus examination showed a premacular hemorrhage in his left eye (Figure, A).

The patient underwent Nd:YAG laser membranotomy and the inferior surface of the hemorrhage was visibly punctured; however, there was no drainage of blood. One and 2 months after treatment (Figure, B and C, respectively), the patient's visual acuity had not improved. Repeat Nd:YAG laser membranotomy yielded immediate drainage of blood into the inferior vitreous (Figure, D), with rapid visual improvement to 20/20 OS (Figure, E).

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