Karagiannis Dimitrios, Kontadakis Georgios A, Flanagan Declan
Opthalmiatreion Eye Hospital of Athens, Athens, Greece.
Moorfields Eye Hospital NHS Foundation Trust, London, United Kingdom.
Am J Ophthalmol Case Rep. 2018 Jan 12;10:8-9. doi: 10.1016/j.ajoc.2018.01.027. eCollection 2018 Jun.
To present fundus images of a case with severe preretinal hemorrhage in diabetic retinopathy that was treated with posterior hyaloidotomy with an Nd:YAG laser.
A 35-year-old diabetic patient presented with sudden painless loss of vision due to severe preretinal hemorrhage over the macular area and high risk proliferative diabetic retinopathy. Her visual acuity was counting fingers. Posterior hyaloid face was treated with Nd:YAG laser (posterior hyaloidotomy). Panretinal laser photocoagulation was first performed to control the proliferative diabetic retinopathy. Blood drained inferiorly into the vitreous cavity with clearance of the premacular area.
Prompt treatment with Panretinal laser photocoagulation followed by posterior hyaloidotomy with the YAG laser is a viable option in order to avoid further proliferative diabetic retinopathy complications and vision loss. The current image clearly depicts treatment efficacy.
展示一例糖尿病性视网膜病变伴严重视网膜前出血患者的眼底图像，该患者接受了Nd:YAG激光后玻璃体膜切开术治疗。
一名35岁的糖尿病患者因黄斑区严重视网膜前出血和高危增殖性糖尿病性视网膜病变出现突然无痛性视力丧失。她的视力为眼前指数。用Nd:YAG激光（后玻璃体膜切开术）治疗后玻璃体膜面。首先进行全视网膜激光光凝以控制增殖性糖尿病性视网膜病变。血液向下引流至玻璃体腔，黄斑前区得以清除。
先进行全视网膜激光光凝，随后用YAG激光行后玻璃体膜切开术，这种及时的治疗是一种可行的选择，可避免进一步的增殖性糖尿病性视网膜病变并发症和视力丧失。当前图像清楚地描绘了治疗效果。
