Dr. Kumar Saurabh, S17082, Dr. Rupak Roy
Aim: To report the utility of YAG laser in treatment of sub-internal limiting membrane (Sub-ILM) hemorrhage.
Methods: A 19 years old lady presented with sudden loss of central vision in her right eye due to blunt trauma. Best corrected visual acuity was 20/80, N8 in right and 20/20, N6 in her left eye. Right eye showed superficial hemorrhage at the centre of macula with a yellow line at the borders which suggested sub-ILM hemorrhage. Spectral domain optical coherence tomography of right eye showed detached ILM with underlying hemorrhage.
Result: YAG laser was targeted at the most dependent part of the hemorrhage to create an opening in ILM leading to clearance of sub-ILM hemorrhage. The right eye vision improved to 20/20, N6 by the end of one month and maintained till last visit. The ILM remained unattached till last follow up.
Conclusion: YAG laser membranotomy can be a relatively non-invasive treatment for sub-ILM hemorrhage. However persistently unattached ILM needs to be watched.