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Klinische Monatsblatter fur Augenheilkunde 2004-Feb

[Preretinal haemorrhage after vomiting--a case report].

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Jens Dawczynski
Ulrich Voigt
Ekkehart Königsdörffer
Thomas Bartke
Jürgen Strobel

Keywords

Abstract

BACKGROUND

There are different therapeutical options for treating early preretinal hemorrhages. Beside surgery and intraocular drug administration some reports have been published using neodymium-YAG laser.

METHODS

A 42-year pld healthy female patient complained of sudden visual loss after vomiting and showed signs of preretinal haemorrhage. On the same day, a treatment with neodymium-YAG-laser was performed. The posterior limiting membrane was opened.

RESULTS

During follow-up an outflow of the preretinal haemorrhage into the vitreous was observed. Within four weeks after laser treatment a complete resorption of the haemorrhage was seen. Visual acuity increased to 20/20.

CONCLUSIONS

In selected cases the opening of the posterior limiting membrane may be considered for treatment of early preretinal haemorrhages.

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