医学
扁平部
玻璃体切除术
黄斑变性
视力
卫生棉条
眼科
重组组织纤溶酶原激活剂
贝伐单抗
外科
回顾性队列研究
视网膜
缺血
化疗
内科学
改良兰金量表
缺血性中风
作者
Atul Kumar,Sangeeta Roy,Mayank Bansal,Sana Tinwala,Neelima Aron,Shreyas Temkar,Amar Pujari
标识
DOI:10.1097/apo.0000000000000130
摘要
The aim of this study was to evaluate the surgical outcomes of a modified approach in the management of thick submacular hemorrhage in patients with wet age-related macular degeneration.This was a retrospective study.A retrospective chart review was performed on 10 eyes of 10 patients with submacular hemorrhage secondary to wet age-related macular degeneration treated with 23-gauge pars plana vitrectomy, followed by submacular injection of recombinant tissue plasminogen activator (12.5 μg/0.1 mL), bevacizumab (2.5 mg/0.1 mL), and air (0.3 mL). Gas tamponade was given with 20% SF6 and postoperative propped-up positioning. Patients were evaluated for displacement of hemorrhage, preoperative and postoperative best-corrected visual acuity, occurrence of intraoperative and postoperative complications, and recurrence of hemorrhage. All patients were followed up for 6 months.Displacement of the submacular bleed was achieved in all cases. Improvement of best-corrected visual acuity was seen in 8 of 10 patients. Rebleed was seen in 2 eyes that were retreated with intravitreal injection of recombinant tissue plasminogen activator, bevacizumab, and 20% SF6 gas.This modified technique aids in the effective displacement of thick submacular hemorrhage with simultaneous treatment of the underlying choroidal neovascular membrane, which halts the disease progression resulting in significant improvement of visual acuity.
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