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Sub-internal limiting membrane (sub-ILM) hemorrhage, a rare ocular condition, poses a challenge in ophthalmology due to its association with severe visual impairment. This case report presents a 27-year-old male with a sub-ILM hemorrhage following intense physical activity. Despite unsuccessful Nd:YAG laser treatments, vitrectomy with internal limiting membrane (ILM) peeling resulted in a remarkable improvement in visual acuity from hand movement to 6/6 within the first day post-surgery. The fundus photograph and OCT findings illustrated restored macular anatomy, highlighting the positive outcomes of surgical intervention.
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