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Treatment of an avulsed retinal vessel with infrared diode laser photocoagulation
1Department of Ophthalmology, Mayo Clinic Jacksonville, Jacksonville, Florida 32224, USA. stewart.michael@mayo.edu
Purpose:
To report the use of the infrared diode laser with long-duration pulses to successfully treat a patient with recurrent vitreous hemorrhages due to an avulsed retinal arteriole.
Design:
Interventional case report.
Methods:
A 70-year-old man presented with repeated, visually significant vitreous hemorrhages due to an avulsed retinal arteriole. Infrared diode laser photocoagulation with long-duration, large, overlapping spots was performed on either side of the avulsed segment.
Results:
Resolution of the hemorrhage occurred within 1 month, without further episodes of bleeding. Two-year follow-up with fluorescein angiography showed complete cessation of blood flow through the treated segment.
Conclusions:
Infrared diode laser photocoagulation with long-duration pulses may be an effective, minimally invasive treatment of the avulsed retinal vessel syndrome.
