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Early treatment with Nd-YAG laser for a premacular hemorrhage secondary to a retinal macroaneurysm.

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A 50-year-old man presented with a sudden, painless, visual loss in his left eye of 24 hours. His past ocular and medical histories were unremarkable and the accident was not… Click to show full abstract

A 50-year-old man presented with a sudden, painless, visual loss in his left eye of 24 hours. His past ocular and medical histories were unremarkable and the accident was not preceded by a physical exertion. On examination, best corrected visual acuity was 20/20 in the right eye and 20/400 in the left eye. There was no afferent pupil defect and the anterior segment examination was unremarkable in both eyes. Dilated fundus examination of the left eye showed a large sedimented premacular hemorrhage beneath a transparent membrane covering most of the macula including the fovea. There was also a small ectasia of a macular branch of superotemporal vein located above the sedimented blood inside the area of the detached membrane (Fig. 1). Fundus examination of the right eye was normal.

Keywords: left eye; examination; premacular hemorrhage; early treatment; eye

Journal Title: Journal francais d'ophtalmologie
Year Published: 2017

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