Alarfaj Motazz A, Hasen Abdulmajeed A, Al-Yami Saeed S
Imam Abdulrahman Bin Faisal University, Dammam, Saudi Arabia.
Johns Hopkins Aramco Healthcare, Dhahran, Saudi Arabia.
Am J Ophthalmol Case Rep. 2018 Jan 12;9:85-87. doi: 10.1016/j.ajoc.2018.01.020. eCollection 2018 Mar.
To report a case of traumatic subhyaloid macular hemorrhage with severe sudden vision loss treated successfully with Neodymium-Doped Yttrium Aluminium Garnet Laser (Nd:YAG laser).
A 16-year-old boy presented to the eye clinic with acute vision loss secondary to blunt trauma by a stone to his left eye 3 days prior to consultation that caused subhyaloid macular hemorrhage. Nd:YAG laser was performed to open the hyaloid membrane and allow the blood to diffuse into the vitreous cavity and be absorbed. The patient demonstrated complete recovery as his visual acuity went from counting fingers to 20/20 within 20 days. No complications due to the treatment were reported.
To the best of our knowledge, there have been no reported cases of subhyaloid macular hemorrhage treated with Nd:YAG laser in which the etiology was trauma and showed full, rapid recovery with no sequelae.
报告一例因外伤导致的玻璃膜下黄斑出血伴严重突发视力丧失的病例，该病例经掺钕钇铝石榴石激光（Nd:YAG激光）成功治疗。
一名16岁男孩因左眼3天前被石块钝击导致玻璃膜下黄斑出血，继发急性视力丧失，前来眼科诊所就诊。采用Nd:YAG激光打开玻璃膜，使血液扩散至玻璃体腔并被吸收。患者视力在20天内从仅能数指恢复到20/20，显示出完全康复。未报告因治疗引起的并发症。
据我们所知，此前尚无关于病因是外伤且经Nd:YAG激光治疗后完全、快速康复且无后遗症的玻璃膜下黄斑出血病例的报道。
