Subinternal Limiting Membrane Hemorrhage With Perimacular Fold in Leukemia

Bhatnagar, Ajay S.

doi:10.1001/archophthalmol.2009.284

Cited by 10 publications

(8 citation statements)

References 8 publications

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“…Sub-ILM hemorrhage has been associated with various causes, the most common being Valsalva retinopathy and Terson's syndrome; other causes include blunt trauma, ruptured RAM, blood dyscrasias, proliferative diabatic retinopathy (PDR), age-related macular degeneration, shaken baby syndrome, Dengue maculopathy, and Weil's disease (1,3,(6)(7)(8)(9)(10)(11)(12)(13)(14)(15)(16)(17). In our study, 10 cases were Valsalva retinopathy (52.63%), five cases were RAM(26.32%), three cases were DR (15.79%), and one case was ocular blunt trauma(5.26%).…”

Section: Discussionmentioning

confidence: 99%

Efficiency and Complication of 577-nm Laser Membranotomy for the Treatment of Retinal Sub-Inner Limiting Membrane Hemorrhage

Zhang

Li²,

Cao³

et al. 2022

Front. Ophthalmol.

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ObjectiveWe investigated the clinical efficiency and complications of treatment of retinal sub-inner limiting membrane (sub-ILM) hemorrhage by 577-nm semiconductive laser membranotomy.MethodsThe clinical features, ocular fundus photography, and SD-OCT image of patients who received 577-nm laser membranotomy for sub-ILM hemorrhage were assessed from January 2017 to April 2022 in this retrospective case-series study.ResultsA total of 19 patients (19 eyes) were treated for sub-ILM hemorrhage of the macula, in which eight were women and 11 were men. The age was 15–83 years (with an average age of 49.05 ± 19.41 years old). The right eye was affected in 12 patients, the left eye in seven patients. The follow-up period after laser treatment was from 0.5 to 9 months (with an average follow-up time of 3.25 ± 2.45 months). Treatment was not successful in one patient, and 577-nm laser membranotomy was successful in 18 patients (equaling a success rate of 94.74%). The best corrected visual acuity (BCVA) before laser treatment was from figure count to 40/200, and the BCVA after laser treatment was from 20/2000 to 20/20. Complications after laser treatment comprised macular hole (one patient), macular epi-membrane (one patient), vitreous hemorrhage without absorption (two patients), and sub-ILM cavity (12 patients).ConclusionsThe 577-nm laser is effective in treating sub-ILM hemorrhage and has a high success rate. Posttreatment complications should be monitored, and vitrectomy was needed with long-lasting vitreous hemorrhage and macular hole.

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Section: Discussionmentioning

confidence: 99%

Efficiency and Complication of 577-nm Laser Membranotomy for the Treatment of Retinal Sub-Inner Limiting Membrane Hemorrhage

Zhang

Li²,

Cao³

et al. 2022

Front. Ophthalmol.

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“…Another sing is "double ring" with the "inner ring" caused by the sub-ILM hemorrhage and the "outer ring" caused by the sub-hyaloid hemorrhage 13 18 19 ,but this may not be true in some cases (as case 7). Some authors emphasized "perimacular folds" may be seen with large sub-ILM hemorrhage 12 and "Arcus retinalis" might be a novel clinical marker of sub-ILM hemorrhage 20 . Until now the only method to con rm the sub-ILM hemorrhage still remains intraoperative staining of the membrane overlying the hemorrhage and pathological approval 10 .…”

Section: Discussionmentioning

confidence: 99%

“…Some new methods were used recently to assess the exact location of hemorrhage, such as "double ring" sign with the "inner ring" caused by the sub-ILM hemorrhage and the "outer ring" caused by the subhyaloid hemorrhage 13,18,19 . Perimacular folds may be seen with large sub-ILM hemorrhage 12 and "Arcus retinalis" may be a novel clinical marker of sub-ILM hemorrhage 20 .…”

Section: Introductionmentioning

confidence: 99%

The SD-OCT Characteristics After 577nm Laser Membranotomy of Sub-inner Limiting Membrane Hemorrhage

Zhang¹,

Li²,

Cao³

et al. 2021

Preprint

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Background We investigate the SD-OCT features of sub-inner limiting membrane (sub-ILM) hemorrhage after 577nm laser membranotomy. Methods The ocular fundus photography and SD-OCT of patients who received 577nm laser membranotomy for sub-ILM hemorrhage were assessed from January 2017 to March 2021 in this retrospective cases series study. Results Total of 7 patients (7 eyes) were enrolled in this study, in which 3 were female and 4 were male. The SD-OCT of ILM after laser treatment showed two distinctive features: the ILM falling back to retina (4 cases) or persistent unsealed ILM which forming premacular cavity (3 cases). The SD-OCT of macular fovea after laser treatment showed three features: normal contour (3 cases), macular hole (1 cases) and epiretinal membrane (1 case). The outer retina showed “peg-like” or “patchy-like” structure on the site of ILM attached to retina.Conclusions 577nm laser is effective in treating of sub-ILM hemorrhage and SD-OCT is effective for diagnosis and following-up of sub-ILM hemorrhage.

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“…Although most of these cases are NAHI [2], some are clearly accidental [14] or may be due to pathological causes. Bhatnagar et al [3]described a case (and alluded to two others in the literature) where striking perimacular folds and a large pre-macular haemorrhage were found in a child with a bleeding disorder. There was extensive normal retina between the multiple haemorrhages.…”

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confidence: 99%

“…Conversely, no RHs can be considered, by themselves, to be pathognomonic of any cause but there are certain features of RHs which may imply a greater certainty that they are associated with NAHI. Combined data from the few prospective studies of head injury indicates that RHs have a specificity of 94% for NAHI [3] and there are retinal features that are more frequently seen in NAHI than in other causes: bilaterality, pre-retinal and pre-macular haemorrhages, peripheral involvement and more severe RHs [1, 2, 5,8,11,13].…”

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confidence: 99%

Educational paper

Taylor

2011

Eur J Pediatr

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Retinal haemorrhages are an important component of the clinical effects of non-accidental head injuries which have significant visual morbidity. Their importance extends into the legal investigations of carers of children with subdural haemorrhages and encephalopathy who are suspected of having been non-accidentally injured. The vital precision in diagnosis relies not just on the presence of retinal haemorrhages but on the severity, extent, bilaterality and their location in the retina. Inadequate documentation of ophthalmological clinical findings and too short a follow-up to allow proper assessment of severity each give rise to difficulties for both expert witnesses and the courts.

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Subinternal Limiting Membrane Hemorrhage With Perimacular Fold in Leukemia

Cited by 10 publications

References 8 publications

Efficiency and Complication of 577-nm Laser Membranotomy for the Treatment of Retinal Sub-Inner Limiting Membrane Hemorrhage

Efficiency and Complication of 577-nm Laser Membranotomy for the Treatment of Retinal Sub-Inner Limiting Membrane Hemorrhage

The SD-OCT Characteristics After 577nm Laser Membranotomy of Sub-inner Limiting Membrane Hemorrhage

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