Subhyaloid Hemorrhage after Bungee Jumping Experience. A Case Report

English version

Authors: J. Stráňava; D. Ugarova; A. Stepanov
Authors‘ workplace: Department of Ophthalmology, Regional Hospital Mladá Boleslav, a. s., Czech Republic ; Department of Ophthalmology, Regional Hospital Mladá Boleslav, a. s., Czech Republic
Published in: Čes. a slov. Oftal., 81, 2025, No. Ahead of Print, p. 1-4
Category: Case Report
doi: https://doi.org/10.31348/2025/31

Overview

Subhyaloid hemorrhage is defined as bleeding between the internal limiting membrane (ILM) and the posterior hyaloid membrane. The condition typically manifests itself in acute visual impairment. Causes include the Valsalva maneuver, Terson’s syndrome, age-related macular degeneration (ARMD), trauma, hypercoagulable and hyperviscosity states, uncontrolled blood pressure, diabetes mellitus and leukemia. Prolonged presence of blood in the macular region can lead to the development of an epiretinal membrane and toxic damage to the retinal pigment epithelium and photoreceptors due to iron ions. In this case report we present a 32-year-old patient who was treated at the ophthalmology outpatient clinic of the Regional Hospital in Mladá Boleslav for subhyaloid hemorrhage in the right eye following a bungee jumping experience. The patient was successfully treated with Nd -YAG hyaloidotomy, which resulted in a good therapeutic outcome and full restoration of visual acuity.

Klíčová slova:

Subhyaloid hemorrhage – Hyaloidotomy – Nd-YAG laser

Sources

Kováčová M, Kousal B, Meliška M, Fichtl M, Dušková J, Kalvodová. B. Treatment Options for Premacular and Sub-Internal Limiting Membrane Haemorrhage. Cesk Slov Oftalmol. 2021;77(6):289-294. doi: 10.31348/2021/34
Faisal Murtaza, Syed Fawad Rizvi, Syeda Aisha Bokhari, Zeeshan Kamil. Management of Macular Pre-Retinal Subhyaloid hemorrhage by Nd:Yag laser hyaloidotomy. Pak J Med Sci. 2014 MarApr;30(2):339-342. doi: 10.12669/pjms.302.4689
Heichel J, Kuehn E, Eichhorst A, Hammer T, Winter I. Nd:YAG Laser Hyaloidotomy for the Treatment of Acute Subhyaloid Hemorrhage: A Comparison of Two Cases. Ophthalmol Ther. 2016;5:111120, doi: 10.1007/s40123-015-0043-1
Alarfaj MA, Hasen AA, Al-Yami SS, Traumatic subhyaloid macular hemorrhage with complete resolution following Neodymi- um-Doped Yttrium Aluminium Garnet Laser. Am J Ophthalmol Case Rep. 2018; Jan 12;9:85-87. doi: 10.1016/j.ajoc.2018.01.020
Khadka D, Bhandari S, Bajimaya S, Thapa R, Paudyal G, Pradhan E. Nd:YAG laser hyaloidotomy in the management of Premacular Subhyaloid Hemorrhage. BMC Ophthalmol. 2016 Apr 18;16:41. doi: 10.1186/s12886-016-0218-0
Kuruvilla O, Munie M, Shah M, Desai U, Miller JA, Ober MD. Nd:YAG membranotomy for preretinal hemorrhage secondary to valsalva retinopathy. Saudi J Ophtalmol. 2014 Feb 28;28(2):145-151. doi: 10.1016/j.sjopt.2014.02.006
Karagiannisa D, Kontadakisa GA, Flanagan D. Nd:YAG laser for preretinal hemorrhage in diabetic retinopathy. Am J Ophthalmol Case Rep. 2018 Jan 12;10:8-9. doi: 10.1016/j. ajoc.2018.01.027