Dr. Siddharam Janti, J14066, Dr. K. Stephen Sudhakar, Dr. Gnaneswaran Premnath
AIM:Long standing premacular subhyaloid hge cause permanent loss of VA as it involves the fovea, Argon green laser posterior hyaloidotomy may be indicated in selected cases.This study investigated the effects of drainage of premacular subhyaloid hge into the vitreous with laser treatment.
METHODS: 6 patients who had circumscribed premacular hge were included & were treated immediately with the laser to drain the blood.The hge originated from anaemic retinopathy, PDR, terson syndrome, pancytopenia and blunt ocular trauma.The size of the hge is expressed in disc diameter(DD).
RESULTS:The mean pretreatment hge measured 4.5 DD.After laser treatment, the hge instantly drained into the vitreous cavity, resulting in rapid improvement of vision.The mean follow-up was 12 months.
CONCLUSIONS:Argon green laser posterior hyaloidotomy may be useful for draining a premacular hge into the vitreous cavity in selected cases.