27.3 Sub-internal Limiting Membrane (ILM) Hemorrhage

4. Sub-internal Limiting Membrane (ILM) Hemorrhage

A sub-ILM hemorrhage may occur with a macroaneurym, valsalva or Terson’s syndrome. Small haemorrhages can be managed conservatively, but large hemorrhages be considered for vitrectomy, especially if there is break through vitreous hemorrhage.

A vitrectomy is performed and a pick (e.g. 25-gauge needle on a 1ml/cc syringe) and/or micro-forceps can be used to peel the ILM before aspirating the hemorrhage.

A sub-ILM hemorrhage may occur with a macroaneurym, valsalva or Terson’s syndrome. Small haemorrhages can be managed conservatively, but large hemorrhages be considered for vitrectomy, especially if there is break through vitreous hemorrhage.

A vitrectomy is performed and a pick (e.g. 25-gauge needle on a 1ml/cc syringe) and/or micro-forceps can be used to peel the ILM before aspirating the hemorrhage.

Figure 31.1 Sub-ILM Haemorrhage (Valsalva Retinopathy)

Figure 31.1 Sub-ILM Haemorrhage (Valsalva Retinopathy)

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