Identifying maculopathy after neodymium: YAG membranotomy for dense diabetic premacular hemorrhage
| Autor: | Fabian Burgess, Kulwant S. Sehmi, Jonathan Dowler, Eric Ezra, Peter A.M. Hamilton |
|---|---|
| Rok vydání: | 1996 |
| Předmět: |
Adult
Male medicine.medical_specialty Visual acuity genetic structures Fundus Oculi medicine.medical_treatment Eye disease Visual Acuity Vitrectomy Pilot Projects Retinal Neovascularization Macular Edema Retinal Diseases Ophthalmology medicine Humans Macula Lutea Postoperative Period Fluorescein Angiography Macular edema Diabetic Retinopathy Laser Coagulation medicine.diagnostic_test business.industry Retinal Hemorrhage Middle Aged medicine.disease Fluorescein angiography Prognosis eye diseases Surgery surgical procedures operative Maculopathy Female sense organs medicine.symptom business Laser coagulation Retinopathy Follow-Up Studies |
| Zdroj: | Ophthalmology. 103(10) |
| ISSN: | 0161-6420 |
| Popis: | Purpose: To assess the value of neodymium:YAG membranotomy in achieving rapid intravitreal dispersion of dense diabetic premacular hemorrhage and allowing the identification and treatment of maculopathy before panretinal photocoagulation (PRP. Methods: A pilot study, in which nine eyes with dense diabetic premacular hemorrhages were treated with neodymium:YAG membranotomy, is described. After intravitreal dispersion of premacular blood, fundus examination and fluorescein angiography were performed to identify neovascularization and macular edema. Macular photocoagulation was performed before PRP in eyes with co-existing maculopathy and neovascularization. Results: Complete intravitreal dispersion was achieved in all eyes within 1 week. Clinically significant macular edema was identified and treated, before PRP, in three eyes. No exacerbation of macular edema occurred after PRP, and visual acuity was stabilized at pre-hemorrhage levels in seven eyes and to within one line in the remaining two eyes. No traction retinal detachments or rebleeding occurred, and vitrectomy was not required in any eye. Conclusions: Early neodymium:YAG membranotomy may obviate the need for early vitrectomy for dense diabetic premacular hemorrhage, and allows early identification and treatment of maculopathy, before PRP, thus reducing the risk of exacerbation after PRP. Further studies to evaluate this treatment modality, particularly with respect to longterm visual prognosis, appear warranted. |
| Databáze: | OpenAIRE |
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