Nd Yag Posterior Hyaloidotomy : A Safe and Cost - Effective Approach for the Management of Pre - Macular Haemorrhage in Valsalva Retinopathy

Abstract

To assess the safety and efficacy of Nd YAG posterior hyaloidotomy or membranotomy as a treatment modality for pre-macular haemorrhage in valsalva retinopathy. METHODS: This is a retrospective study of 10 eyes of 10 patients who underwent Nd YAG posterior hyaloidotomy for pre-macular haemorrhage in valsalva retinopathy from January 2006 to November 2014. Post procedure results were assessed in terms of clearance of pre macular haemorrhage, improvement in visual acuity, complications of procedure if any. RESULTS: 10 eyes of 10 patients with valsalva retinopathy were studied. These patients presented within 4 weeks of onset of symptoms. The pre-macular haemorrhage of more than 3DD seen in association with valsalva retinopathy were included and drained into the vitreous cavity using Nd YAG laser. It was observed that 9 out of 10 patients had a vision of 6/12 or better (90%) out of which 7 had 6/6 vision (70%). No patients had any complications. CONCLUSION: Nd YAG laser posterior hyaloidotomy or membranotomy can be considered to be a safe, inexpensive, nonsurgical treatment option for the management of pre macular haemorrhage valsalva retinopathy.