Premacular Subhyaloid Hemorrhage Treated with Argon Laser Hyaloidotomy in a Pregnant Patient: Case Report

ŞATIRTAV AKDENİZ, GÜNHAL; KERİMOĞLU, Hürkan; GÜNDÜZ, Mehmet Kemal; Oltulu, Refik

Premacular Subhyaloid Hemorrhage Treated with Argon Laser Hyaloidotomy in a Pregnant Patient: Case Report

GÜNHAL ŞATIRTAV AKDENİZ, (Department of Ophthalmology, Konya Necmettin Erbakan University Faculty of Medicine, Konya)

Hürkan KERİMOĞLU, (Department of Ophthalmology, Konya Necmettin Erbakan University Faculty of Medicine, Konya)

Refik OLTULU, (Department of Ophthalmology, Konya Necmettin Erbakan University Faculty of Medicine, Konya)

Mehmet Kemal GÜNDÜZ (Department of Ophthalmology, Konya Necmettin Erbakan University Faculty of Medicine, Konya)

Türkiye Klinikleri Oftalmoloji Dergisi

5 0

Yıl: 2016 Cilt: 25 Sayı: 3 Sayfa Aralığı: 187 - 190 Metin Dili: Türkçe İndeks Tarihi: 29-07-2022

Premacular Subhyaloid Hemorrhage Treated with Argon Laser Hyaloidotomy in a Pregnant Patient: Case Report

Öz:

Uçak seyahati sonrası sol gözünde 3 gün önce başlayan ani görme kaybı şikayeti olan 27 yaşında 26 haftalık hamile hasta kliniğimize başvurdu. Hastanın görme keskinliği sol gözde 50 san- timetreden parmak sayma düzeyinde ölçüldü ve ön segment muayenesi doğaldı. Hastanın fundus muayenesinde sol gözde vasküler arkadların içini tamamen dolduran yarı yarıya seviye veren sub- hiyaloid-internal limitan membran (İLM) hemoraji tespit edildi. Hastaya hamilelik durumu, uygu- lanabilecek tedavi seçenekleri ve komplikasyonları ile ilgili bilgi verildikten sonra Argon lazer membranotomi önerildi ve hastanın kabulü üzerine uygulandı. Komplikasyonsuz uygulamanın ardından subhiyaloid- İLM hemorajinin sızıntı şeklinde vitreusa boşalmaya başladığı izlendi. Has- tanın ertesi gün görme keskinliğinin 0,3 (Snellen eşeli), postoperatif 3. günde 0,9 olduğu görüldü. Birinci ay sonunda premaküler sahadaki hemoraji tamamen temizlenmişti. Hastanın 2 aylık taki- binde görme keskinliği tamdı ve komplikasyon yoktu. 532 nm lazer günümüzde pek çok klinikte bulunan bir cihaz olup, lazer membranotomi uygun parametreler ile uygulandığında hastamızda subhiyaloid-İLM hemoraji tedavisinde etkin ve güvenilir bir seçenek olduğu görülmüştür.

Anahtar Kelime:

Konular: Göz Hastalıkları

Premakiiler Subhiyaloid Hemoraji Gelişen Gebe Hastada Argon Laser Hiyaloidotomi Uygulaması

Öz:

A 27--year--old female patient had applied to our clinic with complaint of suddenonset, painless and persistent loss of vision in the left eye starting after an airplane flight days ago.She was 26 weeks pregnant. Visual acuity in the left eye was counting fingers with normal anteriorsegment examination. On fundus exam, subhyaloid hemorrhage covering the macular regionbetween the vascular arcades was noticed. After giving information about the pregnancy, compli--cation risks and other treatment alternatives, drainage of the subhyaloid hemorrhage with Argonlaser membranotomy treatment was performed. After laser treatment, drainage of the hemorrhageinto the vitreous cavity and instant improvement of vision was observed with no complications. Thevisual acuity was 0.3 (Snellen chart) the following day and 0.9 on the third postoperative day.Premacular hemorrhage was completely drained at one month. No complications were observed onmonth follow--up. 532 nm lasers are present in most clinics and when proper parameters are selected,it proved to be an effective and safe alternative for treating premacular subhyaloid hemor--rhage in our patient.

Anahtar Kelime:

Konular: Göz Hastalıkları

Belge Türü: Makale Makale Türü: Olgu Sunumu Erişim Türü: Erişime Açık

1. Spraul CW, Grossniklaus HE. Vitreous hemorrhage. Surv Ophthalmol 1997;42(1):33-9.
2. Al-Mujaini AS, Montana CC. Valsalva retinopathy in pregnancy: a case report. J Med Case Rep 2008;7(2):101.
3. Erdurman FC, Durukan AH, Hürmeriç V, Mumcuoğlu T. Nd:YAG laser treatment of an atypically located subhyaloid hemorrhage due to Valsalva maneuver in late pregnancy: a case report. Gülhane Tıp Derg 2011;53(1):63-5.
4. Kaynak S, Eryildirim A, Kaynak T, Durak I, Saatçi O, Eryildirim S, et al. Nd:YAG laser posterior hyaloidotomy in subhyaloid hemorrhage. Ophthalmic Surg 1994;25(7):474-6.
5. Krohn J, Bjune C. Nd:YAG laser membranotomy for premacular haemorrhage. Acta Ophthalmol Scand 2004;82(3 Pt 1):316-9.
6. Durukan AH, Kerimoglu H, Erdurman C, Demirel A, Karagul S. Long-term results of Nd:YAG laser treatment for premacular subhyaloid haemorrhage owing to valsalva retinopathy. Eye (Lond) 2008; 22(2):214-8.
7. Moorthy RS. Dense premacular hemorrhage from a retinal macro aneurysm treated by argon laser. Retina 2000;20(1):96-8.
8. Emre S, Doganay S, Demirel S, Tasar A. A new technique: argon green laser-Nd:YAG laser combination for the treatment of premacular haemorrhage. Acta Ophthalmol 2010;88(3):e94-5.
9. El-Defrawy H, Sallam A, McKechnie CJ, Zambarakji H. Valsalva retinopathy in pregnancy. Should we treat? JRSM Short Rep 2011;2(6):45.
10. Dağlioğlu MC, Coşkun M, Ilhan N, Tuzcu EA, Ari M, Ayintap E, et al. Posterior hyaloidotomy by Nd:YAG laser application in a patient with postpartum depression caused by valsalva retinopathy. Case Rep Ophthalmol 2013;4(1):64-8.
11. Ulbig MW, Mangouritsas G, Rothbacher HH, Hamilton AM, McHugh JD. Long-term results after drainage of premacular subhyaloid hemorrhage into the vitreous with a pulsed Nd:YAG laser. Arch Ophthalmol 1998;116(11):1465-9.
12. Kwok AK, Lai TY, Chan NR. Epiretinal membrane formation with internal limiting membrane wrinkling after Nd:YAG laser membranotomy in valsalva retinopathy. Am J Ophthalmol 2003;136(4): 763-6.
13. Shukla D, Naresh KB, Kim R. Optical coherence tomography findings in valsalva retinopathy. Am J Ophthalmol 2005;140(1):134-6.
14. Sabella P, Bottoni F, Staurenghi G. Spectral-domain OCT evaluation of Nd:YAG laser treatment for Valsalva retinopathy. Graefes Arch Clin Exp Ophthalmol 2010;248(4):599-601.
15. Pichi F, Ciardella AP, Torrazza C, Morara M, Scano G, Mattana G, et al. A spectral-domain optical coherence tomography description of ND:YAG laser hyaloidotomy in premacular subhyaloid hemorrhage. Retina 2012;32(4):861- 2.

APA	ŞATIRTAV AKDENİZ G, KERİMOĞLU H, Oltulu R, GÜNDÜZ M (2016). Premacular Subhyaloid Hemorrhage Treated with Argon Laser Hyaloidotomy in a Pregnant Patient: Case Report. , 187 - 190.
Chicago	ŞATIRTAV AKDENİZ GÜNHAL,KERİMOĞLU Hürkan,Oltulu Refik,GÜNDÜZ Mehmet Kemal Premacular Subhyaloid Hemorrhage Treated with Argon Laser Hyaloidotomy in a Pregnant Patient: Case Report. (2016): 187 - 190.
MLA	ŞATIRTAV AKDENİZ GÜNHAL,KERİMOĞLU Hürkan,Oltulu Refik,GÜNDÜZ Mehmet Kemal Premacular Subhyaloid Hemorrhage Treated with Argon Laser Hyaloidotomy in a Pregnant Patient: Case Report. , 2016, ss.187 - 190.
AMA	ŞATIRTAV AKDENİZ G,KERİMOĞLU H,Oltulu R,GÜNDÜZ M Premacular Subhyaloid Hemorrhage Treated with Argon Laser Hyaloidotomy in a Pregnant Patient: Case Report. . 2016; 187 - 190.
Vancouver	ŞATIRTAV AKDENİZ G,KERİMOĞLU H,Oltulu R,GÜNDÜZ M Premacular Subhyaloid Hemorrhage Treated with Argon Laser Hyaloidotomy in a Pregnant Patient: Case Report. . 2016; 187 - 190.
IEEE	ŞATIRTAV AKDENİZ G,KERİMOĞLU H,Oltulu R,GÜNDÜZ M "Premacular Subhyaloid Hemorrhage Treated with Argon Laser Hyaloidotomy in a Pregnant Patient: Case Report." , ss.187 - 190, 2016.
ISNAD	ŞATIRTAV AKDENİZ, GÜNHAL vd. "Premacular Subhyaloid Hemorrhage Treated with Argon Laser Hyaloidotomy in a Pregnant Patient: Case Report". (2016), 187-190.

APA	ŞATIRTAV AKDENİZ G, KERİMOĞLU H, Oltulu R, GÜNDÜZ M (2016). Premacular Subhyaloid Hemorrhage Treated with Argon Laser Hyaloidotomy in a Pregnant Patient: Case Report. Türkiye Klinikleri Oftalmoloji Dergisi, 25(3), 187 - 190.
Chicago	ŞATIRTAV AKDENİZ GÜNHAL,KERİMOĞLU Hürkan,Oltulu Refik,GÜNDÜZ Mehmet Kemal Premacular Subhyaloid Hemorrhage Treated with Argon Laser Hyaloidotomy in a Pregnant Patient: Case Report. Türkiye Klinikleri Oftalmoloji Dergisi 25, no.3 (2016): 187 - 190.
MLA	ŞATIRTAV AKDENİZ GÜNHAL,KERİMOĞLU Hürkan,Oltulu Refik,GÜNDÜZ Mehmet Kemal Premacular Subhyaloid Hemorrhage Treated with Argon Laser Hyaloidotomy in a Pregnant Patient: Case Report. Türkiye Klinikleri Oftalmoloji Dergisi, vol.25, no.3, 2016, ss.187 - 190.
AMA	ŞATIRTAV AKDENİZ G,KERİMOĞLU H,Oltulu R,GÜNDÜZ M Premacular Subhyaloid Hemorrhage Treated with Argon Laser Hyaloidotomy in a Pregnant Patient: Case Report. Türkiye Klinikleri Oftalmoloji Dergisi. 2016; 25(3): 187 - 190.
Vancouver	ŞATIRTAV AKDENİZ G,KERİMOĞLU H,Oltulu R,GÜNDÜZ M Premacular Subhyaloid Hemorrhage Treated with Argon Laser Hyaloidotomy in a Pregnant Patient: Case Report. Türkiye Klinikleri Oftalmoloji Dergisi. 2016; 25(3): 187 - 190.
IEEE	ŞATIRTAV AKDENİZ G,KERİMOĞLU H,Oltulu R,GÜNDÜZ M "Premacular Subhyaloid Hemorrhage Treated with Argon Laser Hyaloidotomy in a Pregnant Patient: Case Report." Türkiye Klinikleri Oftalmoloji Dergisi, 25, ss.187 - 190, 2016.
ISNAD	ŞATIRTAV AKDENİZ, GÜNHAL vd. "Premacular Subhyaloid Hemorrhage Treated with Argon Laser Hyaloidotomy in a Pregnant Patient: Case Report". Türkiye Klinikleri Oftalmoloji Dergisi 25/3 (2016), 187-190.