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Resumen Introduccion Presentamos el caso de una paciente con una hemorragia premacular tratada con neodimio (Nd):YAG laser. Caso clinico Paciente de 54 anos de edad fue a urgencias por perdida repentina de vision en el ojo derecho (OD) desde el dia anterior. La maxima vision corregida del OD era la percepcion de la luz y en el fondo de ojo se vio una hemorragia premacular de gran tamano. Se hizo el tratamiento con Nd:YAG laser en ese dia para que drenase la hemorragia hacia la cavidad vitrea. En la hemorragia intravitrea habia desaparecido al cabo de un mes y despues de 3 meses la vision era 20/25.

Introduction To report a case of premacular haemorrhage treated with Neodymium (Nd):YAG laser puncture. Case report A 54-year-old Caucasian female was seen in the emergency department with complaints of sudden loss of vision in her right eye (RE), detected on the previous day. The best-corrected visual acuity (BCVA) in the RE was reduced to light perception, and fundoscopy evidenced a large and dense premacular haemorrhage. An Nd:YAG laser puncture was performed that day to drain the haemorrhage into the vitreous cavity. The intravitreal haemorrhage cleared in about 1 month, and the BCVA of the RE was 20/25 after 3 months.