Spectral-Domain Optical Coherence Tomography Following Nd:YAG Laser Membranotomy in Valsalva Retinopathy

Goel, Neha; Kumar, Vinod; Seth, Anisha; Raina, Usha K; Ghosh, Basudeb

doi:10.3928/15428877-20110224-01

Cited by 22 publications

(23 citation statements)

References 21 publications

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“…In selected cases, the presence of the detached posterior hyaloid face at the area of the haemorrhage can be picked up, suggesting that the blood is sub-ILM and not subhyaloid. 5,6 When two layers are not evident, as in our case, the presence of a dome-shaped convex cavity with a hyper-reflective anterior layer on OCT corresponding with the ILM suggests that the haemorrhage is sub-ILM. 6 A review of existing literature revealed that OCT evaluation of pre-macular haemorrhage has been studied following Valsalva retinopathy; however, there is no report on that following anaemic retinopathy.…”

Section: Discussionmentioning

confidence: 56%

“…5,6 When two layers are not evident, as in our case, the presence of a dome-shaped convex cavity with a hyper-reflective anterior layer on OCT corresponding with the ILM suggests that the haemorrhage is sub-ILM. 6 A review of existing literature revealed that OCT evaluation of pre-macular haemorrhage has been studied following Valsalva retinopathy; however, there is no report on that following anaemic retinopathy. The pre-macular cavity in Valsalva retinopathy has been seen to resolve, 7,8 to persist 6 or to require surgical intervention.…”

Section: Discussionmentioning

confidence: 56%

“…The exact location of the pre‐macular haemorrhage, whether subhyaloid or sub‐internal limiting membrane has been disputed in the literature and is difficult to clinically define. In selected cases, the presence of the detached posterior hyaloid face at the area of the haemorrhage can be picked up, suggesting that the blood is sub‐ILM and not subhyaloid . When two layers are not evident, as in our case, the presence of a dome‐shaped convex cavity with a hyper‐reflective anterior layer on OCT corresponding with the ILM suggests that the haemorrhage is sub‐ILM …”

Section: Discussionmentioning

confidence: 67%

“…A review of existing literature revealed that OCT evaluation of pre‐macular haemorrhage has been studied following Valsalva retinopathy; however, there is no report on that following anaemic retinopathy. The pre‐macular cavity in Valsalva retinopathy has been seen to resolve, to persist or to require surgical intervention . While a relatively large cavity may be evident on fundus examination, small cavities are visible on OCT only.…”

Section: Discussionmentioning

confidence: 99%

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Sub‐internal limiting membrane cavity in anaemic retinopathy evident on spectral domain optical coherence tomography

Kumar

Chanana

2014

Clinical and Experimental Optometry

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A 25-year-old woman was diagnosed with anaemic retinopathy following Plasmodium falciparum malaria. The serial clinical and spectral domain optical coherence tomography (SD-OCT) changes are described, including sub-internal limiting membrane (sub-ILM) haemorrhage at the macula with the formation of a corresponding sub-ILM cavity evident on SD-OCT. The patient was managed conservatively and showed complete recovery of fundus and SD-OCT changes after one year. To the best of our knowledge, this is the first documentation of formation of a temporary sub-ILM cavity following anaemic retinopathy.

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Section: Discussionmentioning

confidence: 56%

Section: Discussionmentioning

confidence: 56%

Section: Discussionmentioning

confidence: 67%

Section: Discussionmentioning

confidence: 99%

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Sub‐internal limiting membrane cavity in anaemic retinopathy evident on spectral domain optical coherence tomography

Kumar

Chanana

2014

Clinical and Experimental Optometry

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“…Moreover, the proximity to the retinal surface presents an additional problem when using the laser. Complications of Nd:YAG laser membranotomy include creating a macular hole or persistent premacular cavity, retinal detachment and epiretinal membrane formation [13,14]. Nd:YAG laser can be useful in the treatment of non-dense and non-coagulated premacular haemorrhages, and when the location of the blood is subhyaloid, but not when there is blood under the ILM.…”

Section: Discussionmentioning

confidence: 99%

Long-term evolution of Valsalva retinopathy: a case series

2012

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IntroductionValsalva retinopathy may occur as a sudden, dramatic loss of central vision due to the premacular location of the haemorrhage. It has been described in different clinical settings, and there are several options for its treatment.Case presentationsWe present the cases of six patients with sudden visual acuity loss caused by Valsalva retinopathy, treated in our hospital in the last ten years. Case 1 involves a 32-year-old Caucasian man with a unilateral premacular haemorrhage after vomiting. A neodymium-doped yttrium aluminium garnet laser was used due to sufficient depth of the haemorrhage pocket, but it was unsuccessful. Instead, 20G pars plana vitrectomy was performed with excellent visual recuperation (visual acuity:1.0). Case 2 was of a 36-year-old Caucasian woman with Valsalva retinopathy after vomiting during pregnancy. A neodymium-doped yttrium aluminium garnet laser was also insufficient due to the coagulated blood. After labour, 23G pars plana vitrectomy was performed, and her final visual acuity was 1.0. Case 3 involved a 52-year-old Caucasian man with premacular bleeding due to vomiting after general anaesthesia. The haemorrhage did not resolve spontaneously, so 23G pars plana vitrectomy was performed, with excellent visual outcomes (visual acuity:1.0). Case 4 was a 24-year-old Caucasian man with a macular haemorrhage after thoracic trauma. He was observed over four weeks, after which we performed 23G pars plana vitrectomy, with complete visual restoration (visual acuity:1.0). Case 5 involved a 28-year-old man who developed a premacular bleed after vigorous dancing. After a period of observation, 23G pars plana vitrectomy was performed. A retinal break with a small haemorrhage around the break occurred, related to the peribulbar anaesthesia manoeuvers, but was resolved successfully. His final visual acuity was 1.0. Case 6 was a 22-year-old Caucasian woman who developed a premacular haemorrhage after weightlifting. Conservative management was performed due to the small size of her haemorrhage. It resolved spontaneously within one month, and her final visual acuity was 1.0.ConclusionValsalva retinopathy is a rare condition that causes a sudden loss of visual acuity. In patients with too dense haemorrhage, the best option could be the vitrectomy, with excellent visual outcomes, although surgery is not free of risks.

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Ocular Manifestations of Closed-Globe (Blunt) Ocular Trauma

Chen

Mieler

2017

Retinal and Choroidal Imaging in Systemic Diseases

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Spectral-Domain Optical Coherence Tomography Following Nd:YAG Laser Membranotomy in Valsalva Retinopathy

Abstract: SD-OCT reveals formation of a premacular cavity following laser puncture for premacular hemorrhage in Valsalva retinopathy, which may persist despite successful drainage of blood. This may later result in metamorphopsia in certain patients.

Cited by 22 publications

References 21 publications

Sub‐internal limiting membrane cavity in anaemic retinopathy evident on spectral domain optical coherence tomography

Sub‐internal limiting membrane cavity in anaemic retinopathy evident on spectral domain optical coherence tomography

Long-term evolution of Valsalva retinopathy: a case series

Ocular Manifestations of Closed-Globe (Blunt) Ocular Trauma

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