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By Rim Kahloun korbaa, MD
Fattouma Bourguiba University Hospital, Faculty of Medicine, University of Monastir, Monastir, Tunisia - Uploaded on Jan 25, 2026.
- Last modified by Joshua Friedman on Jan 26, 2026.
- Rating
- Appears in
- Retro hyaloid premacular hemorrhage managed by ND Yag laser
- Condition/keywords
- Sub hyaloid haemorrhage, YAG HYALOIDOTOMY
- Photographer
- Rim Kahloun; MD, Monastir, Tunisia
- Imaging device
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Fundus camera
EIDON - Description
- A 44-year-old man with a history of proliferative diabetic retinopathy previously treated with panretinal photocoagulation presented with a sudden decrease in visual acuity in his left eye. On examination, best-corrected visual acuity was reduced to counting fingers, and intraocular pressure was 16 mmHg in the left eye. Slit-lamp examination of the anterior segment was unremarkable. Fundus examination showed a retro-hyaloidal hemorrhage masking the macula (Figure, top left). As no spontaneous improvement was observed after one week of follow-up, Nd:YAG laser hyaloidotomy was performed. Three laser shots of 7 mJ were applied on the lower part of the blood collection (Figure, middle, immediately after laser treatment). The hemorrhage was successfully released into the vitreous cavity (Figure, top right), with subsequent improvement in visual acuity to 20/40.

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