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

Abstract

A 27-year-old female patient had applied to our clinic with a complaint of sudden onset, painless and persistent loss of vision in the left eye starting after an airplane flight 3 days ago. She was 26 weeks pregnant. Visual acuity in the left eye was counting fingers with a normal anterior segment examination. On fundus exam, subhyaloid hemorrhage covering the macular region between the vascular arcades was noticed. After giving information about the pregnancy, complication risks and other treatment alternatives, drainage of the subhyaloid hemorrhage with Argon laser membranotomy treatment was performed. After laser treatment, drainage of the hemorrhage into the vitreous cavity and instant improvement of vision was observed with no complications. The visual 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 on 2 month 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 hemorrhage in our patient.