Journal of Otolaryngology and Ophthalmology of Shandong University ›› 2025, Vol. 39 ›› Issue (1): 130-135.doi: 10.6040/j.issn.1673-3770.0.2024.047

• Original Article • Previous Articles    

Ultra Q:YAG laser treatment for macular retinal pre-retinal hemorrhage in 17 cases and literature review

XIAO Zhe, ZHANG Shengjuan, ZHAO Ziqi, XING Chen, LI Chengquan, LIU Zhiqiang   

  1. Department of fundus imaging and laser therapy, Hebei Eye Hospital, Xingtai 054001, Hebei, China
  • Published:2025-01-17

PDF (PC)

3

Abstract: Objective To examine the effectiveness of Ultra Q: YAG laser membranotomy in treating preretinal hemorrhage in the macula. Methods This retrospective study analyzed 17 patients(17 eyes)treated for preretinal hemorrhage in the macula with Ultra Q: YAG laser membranotomy. Patients were followed up one month postoperatively to observe vitreous hemorrhage absorption, visual improvement, complication occurrence, and to identify reasons for unsuccessful outcomes. Results Treatment was successful in 12 out of 17 eyes(70.6%), with complete absorption of hemorrhage and notable visual improvement. Among the five unsuccessful cases, two had a disease duration of over 30 days, two exhibited irregularly shaped hemorrhages, and one showed poor absorption of vitreous hemorrhage one month post-membranotomy, necessitating vitrectomy. Conclusion Ultra Q: YAG laser treatment for preretinal hemorrhage in the macula is proven to be effective, safe, and feasible. Early intervention with Ultra Q: YAG laser is recommended to optimize treatment outcomes.

Key words: Ultra Q: YAG laser, Macula, Preretinal hemorrhage, Membranotomy, Vitrectomy

CLC Number: 

  • R774.5
[1] 邢文锐. 黄斑部视网膜前出血[J]. 中华眼科杂志, 2020, 56(7): 488. doi:10.3760/cma.j.cn112142-20200218-00079
[2] Malek MA, Niyonzima JC, Pathan MAHK, et al. Pars Plana vitrectomy for a sub-internal limiting membrane hemorrhage and vitreous hemorrhage secondary to dengue fever: a case report[J]. Cureus, 2022, 14(6): e25916. doi:10.7759/cureus.25916
[3] Akhavanrezayat A, Cooper JD, Hassan M, et al. Bilateral preretinal hemorrhage associated with Kikuchi-Fujimoto disease[J]. Am J Ophthalmol Case Rep, 2021, 22: 101041. doi:10.1016/j.ajoc.2021.101041
[4] Jaime L, Javier L, Nicolás RV, et al. Nd: YAG membranotomy for sub-inner limiting membrane hemorrhage: a case report[J]. Rom J Ophthalmol, 2021, 65(1): 76-79. doi:10.22336/rjo.2021.15
[5] Hussain Rumana N, Theodor S, Paul H, et al. Histopathological changes and clinical outcomes following intervention for sub-internal limiting membrane haemorrhage[J]. Ophthalmol J Int, 2020, 243(3): 217-223. doi: 10.1159/000502442
[6] 张永鹏, 曹绪胜, 李继鹏, 等. 黄斑部视网膜内界膜下出血行577nm激光膜切开术的临床研究[J]. 中华眼科医学杂志(电子版), 2021, 11(3): 159-165. doi:10.3877/cma.j.issn.2095-2007.2021.03.006 ZHANG Yongpeng, CAO Xusheng, LI Jipeng, et al. Effects of 577 nm laser membranotomy on macular sub-inner limiting membrane hemorrhage[J]. Chinese Journal of Ophthalmologic Medicine(Electronic Edition), 2021, 11(3): 159-165. doi:10.3877/cma.j.issn.2095-2007.2021.03.006
[7] Quiroz-Mendoza JL, Valera-Cornejo DA, García-Roa M, et al. Different approaches in the management of macular hemorrhage: case reports and a literature review[J]. Medwave, 2020, 20(2): e7831. doi:10.5867/medwave.2020.02.7831
[8] 何海龙, 常笛, 周春媛, 等. 两种Nd: YAG激光后囊膜切开方式治疗后囊膜混浊的Meta分析[J]. 国际眼科杂志, 2020, 20(10): 1764-1768. doi:10.3980/j.issn.1672-5123.2020.10.22 HE Hailong, CHANG Di, ZHOU Chunyuan, et al. Meta-analysis of two kinds of Nd: YAG laser posterior capsulotomy in the treatment opacification[J]. International Eye Science, 2020, 20(10): 1764-1768. doi:10.3980/j.issn.1672-5123.2020.10.22
[9] Tassignon MJ, Stempels N, Van Mulders L. Retrohyaloid premacular hemorrhage treated by Q-switched Nd-YAG laser. A case report[J]. Graefes Arch Clin Exp Ophthalmol, 1989, 227(5): 440-442. doi: 10.1007/BF02172895
[10] 刘小虎, 王国平, 肖建强, 等. Nd: YAG激光联合活血化瘀中药治疗黄斑区内界膜下出血1例[J]. 中医眼耳鼻喉杂志, 2020, 10(2): 116-117. doi:10.3969/j.issn.1674-9006.2020.02.018 LIU Xiaohu, WANG Guoping, XIAO Jianqiang, et al. One case of sub-inner limiting membrane hemorrhage in macular area treated by Nd: YAG laser with traditional Chinese medicine for promoting blood circulation and removing stasis[J]. Journal of Chinese Ophthalmology and Otorhinolaryngology, 2020, 10(2): 116-117. doi:10.3969/j.issn.1674-9006.2020.02.018
[11] 赵玥, 王杨宁致, 王成虎, 等. Ultra Q: YAG与传统Nd: YAG激光对视网膜内界膜下出血患者治疗效果的对比[J]. 眼科新进展, 2020, 40(7): 649-652. doi:10.13389/j.cnki.rao.2020.1149 ZHAO Yue, WANG Yangningzhi, WANG Chenghu, et al. Comparison of ultra Q: YAG and traditional Nd: YAG laser for patients with sub-inner limiting membrane hemorrhage[J]. Recent Advances in Ophthalmology, 2020, 40(7): 649-652. doi:10.13389/j.cnki.rao.2020.1149
[12] Gutiérrez-Montero O, Reche-Sainz JA. Recurrent pre-retinal haemorrhages associated with coagulation factor VII deficiency[J]. Arch Soc Esp Oftalmol(Engl Ed), 2019, 94(8): 409-412. doi:10.1016/j.oftal.2019.04.005
[13] 周芬, 蒋沁, 姚进. Nd:YAG激光治疗视网膜内界膜下出血的临床疗效[J]. 中国激光医学杂志, 2024, 33(2): 72-75, 119-120. doi:10.13480/j.issn1003-9430.2024.0072 ZHOU Fen, JIANG Qin, YAO Jin. Efficency of Nd: YAG laser membranotomy in treatment of sub-internal limiting membrane hemorrhage[J]. Chin J Laser Med Surg, 2024, 33(2):72-75, 119-120. doi:10.13480/j.issn1003-9430.2024.0072
[14] Oscar K, Metasebia M, Manthan S, et al. Nd:YAG membranotomy for preretinal hemorrhage secondary to valsalva retinopathy[J]. Saudi journal of ophthalmology, 2014, 28:145-151
[15] Mansour A. Nd: YAG laser photodisruption of hemorrhagic detachment of the internal limiting membrane[J]. Am J Ophthalmol, 1989, 107(5): 566-567. doi:10.1016/0002-9394(89)90519-9
[16] Ulbig MW, Mangouritsas G, Rothbacher HH, et al. Long-term results after drainage of premacular subhyaloid hemorrhage into the vitreous with a pulsed Nd: YAG laser[J]. Arch Ophthalmol, 1998, 116(11): 1465-1469. doi:10.1001/archopht.116.11.1465
[17] Durukan AH, Kerimoglu H, Erdurman C, et al. Long-term results of Nd: YAG laser treatment for premacular subhyaloid haemorrhage owing to Valsalva retinopathy[J]. Eye, 2008, 22(2): 214-218. doi:10.1038/sj.eye.6702574
[18] 田芳, 王润生. Nd: YAG激光光凝引流黄斑区视网膜前陈旧性出血一例[J]. 中华眼底病杂志, 2014, 30(3): 319-320. doi:10.3760/cma.j.issn.1005-1015.2014.03.026
[19] Khadka D, Bhandari S, Bajimaya S, et al. Nd: YAG laser hyaloidotomy in the management of Premacular Subhyaloid Hemorrhage[J]. BMC Ophthalmol, 2016, 16: 41. doi:10.1186/s12886-016-0218-0
[20] Karagiannis D, Kontadakis GA, Flanagan D. ND: YAG laser for preretinal hemorrhage in diabetic retinopathy[J]. Am J Ophthalmol Case Rep, 2018, 10: 8-9. doi:10.1016/j.ajoc.2018.01.027
[1] SHEN Jiaqi, LI Xiaosa, BI Yanlong, ZHANG Jingfa. The application of artificial intelligence in screening, diagnosis and prognosis of diabetic macular edema [J]. Journal of Otolaryngology and Ophthalmology of Shandong University, 2024, 38(5): 153-159.
[2] BAO Ying, LIU Zhigao, JANG Pengfei, CUI Wenxuan, ZHENG Xiaoxia, YANG Mengyao, SI Mingwei, WANG Yu, WANG Hong. Clinical observation of compacept in the treatment of diabetes mellitus with CRVO-ME high reflex point [J]. Journal of Otolaryngology and Ophthalmology of Shandong University, 2024, 38(3): 55-60.
[3] CHANG Weiwei, JIAO Wanzhen, CUI Yanyan, ZHAO Jie, LIU Zhaoqiang, ZHAO Bojun. Research progress of diabetic macular ischaemia [J]. Journal of Otolaryngology and Ophthalmology of Shandong University, 2024, 38(3): 130-136.
[4] ZHOU Jinglin, LI Jinxiang, ZENG Qi. Effect of 577 nm subthreshold micropulse laser photocoagulation combined with anti-VEGF on the treatment of refractory diabetic macular edema [J]. Journal of Otolaryngology and Ophthalmology of Shandong University, 2024, 38(2): 18-25.
[5] HE Jing, LEI Chunyan, ZHANG Meixia. Association of glycosylated hemoglobin variation index with diabetic retinopathy severity [J]. Journal of Otolaryngology and Ophthalmology of Shandong University, 2024, 38(2): 34-40.
[6] ZHANG Xiaohan, WEI Li, YANG Kaili, CHEN Haiyan, LI Yansong, WANG Ping. Study on the change of OCTA and its correlation with visual acuity in patients with CSC before and after TCM syndrome differentiation and treatment [J]. Journal of Otolaryngology and Ophthalmology of Shandong University, 2023, 37(5): 115-122.
[7] ZHOU Jiamin, SONG Yuwan, SUN Yan. Research progress of pyroptosis in senile degenerative diseases [J]. Journal of Otolaryngology and Ophthalmology of Shandong University, 2023, 37(4): 172-180.
[8] ZHAO Lu, TIAN Huiwen, MENG Bo, WANG Wei, WANG Yanling. Analysis of macular retinal-choroidal thickness changes in patients with internal carotid artery occlusion [J]. Journal of Otolaryngology and Ophthalmology of Shandong University, 2023, 37(3): 72-76.
[9] YOU Ran, GUO Xiaoxiao, WANG Wei, CHEN Xi, WANG Yanling. Association of macular retinoschisis severity with choroidal parameters in patients with high myopia [J]. Journal of Otolaryngology and Ophthalmology of Shandong University, 2023, 37(3): 83-87.
[10] XU Enpei, SUN Xianyong. Diagnosis and treatment of exudative age-related macular degeneration combined with retinal pigment epithelial detachment [J]. Journal of Otolaryngology and Ophthalmology of Shandong University, 2023, 37(3): 125-142.
[11] LEI Min, CHEN Ting, AI Ming. Investigating the correlation between the macular ganglion cell complex and the ratio of deep and superficial vessel density in patients with idiopathic epiretinal membrane [J]. Journal of Otolaryngology and Ophthalmology of Shandong University, 2023, 37(2): 104-113.
[12] LI Pengwei, SU Guangming, LIU Jiangchuan, MU Yalin. Application of optical coherence tomography angiography in macular telangiectasia type 2 [J]. Journal of Otolaryngology and Ophthalmology of Shandong University, 2023, 37(1): 140-144.
[13] WANG Luping, KOU Fangning, WANG Hao, ZHANG Canwei, WANG Yanling, YOU Ran, WU Weizhen. Effects of subretinal hyperreflective material on the visual prognosis of anti-VEGF therapy in patients with neovascular macular degeneration [J]. Journal of Otolaryngology and Ophthalmology of Shandong University, 2022, 36(6): 101-105.
[14] GU Ranran, LI Fengjiao, JIAO Wanzhen, CUI Yanyan, ZHAO Bojun. Clinical efficacy of lecithin complex iodine capsule in the adjuvant treatment of retinal vein occlusion [J]. Journal of Otolaryngology and Ophthalmology of Shandong University, 2022, 36(5): 46-50.
[15] LU Wenrui, YAN Duan, XU Nuo. Surgical clinical treatment outcomes of 25 gauge vitrectomy for superior rhegmatogenous retinal detachment with air tamponade [J]. Journal of Otolaryngology and Ophthalmology of Shandong University, 2021, 35(6): 89-91.
Viewed
Full text


Abstract

Cited
  Shared   
  Discussed   
No Suggested Reading articles found!
Website Copyright: Editorial Office of Journal of Otolaryngology and Ophthalmology of Shandong University
Address: No.27 Shanda South Road, Jinan, Shandong, China. Post code: 250100 Tel: +86-0531-88366912 Email: ebhxb@sdu.edu.cn Supported by Beijing Magtech Co.Ltd