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Management of Thick Submacular Hemorrhage: Do I Need a Forceps or Not ?

Purpose: To evaluate the outcome of pars plana vitrectomy, subretinal tissue plasminogen activator (t-PA) infusion (25 μg) OR subretinal clot evacuation with a forceps. An intraocular gas tamponade with and without postsurgical antivascular endothelial growth factor (VEGF) injection for submacular hemorrage was applied per and post operatively. The procedure was followed by having the patient remain in the prone position during five...

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Sub-macular Hemorrhage

Contact Details: Email: idriss.badat@gmail.com Cell Phone: +33618426737

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Management of Submacular Hemorrhage by Combined Subretinal Injections of t-PA and Aflibercept

Background / Aims: Acute and massive hematoma involving the macula is a devastating complication; age-related macular degeneration (ARMD) is the main cause. Undertreating choroidal neovascularization may explain it in some cases but it also may follow intravitreal anti-VEGF injection especially in previously treated eyes. Other underlying causes include retinal arterial macroaneurysms. In both cases, volume and time to evacuation have...

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ND:YAG Laser Treatment for Valsalva Premacular Hemorrhage

Miriam Garcia Fernandez_SCIENTIFIC POSTER 2015_4 Advantages: To increase awareness of the possible complication of maculopathy occurring in individuals during the Valsalva manoeuvre, and the efficacy of the laser Nd:YAG laser treatment. Methods: Two men, 26 and a 46 years old ,complained of sudden, painless loss of vision in their left eye. One of them became symptomatic after lifting a suitcase (Case 1), and the other one after vigorous...

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Managing Submacular Hemorrhage – Two Different Surgical Approaches

Purpose: We present two different surgical approaches to address submacular hemorrhage. Setting / Venue: Department of Ophthalmology – Centro Hospitalar e Universitário de Coimbra, Portugal. Methods: We present the cases of two patients with submacular hemorrhage that underwent 23-gauge pars plana vitrectomy (PPV) assisted by tissue plasminogen activator (t-PA) The first case refers to a 59 year-old woman, with high myopia who...

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Subhyaloid Hemorrhage

Subhyaloid Hemorrhage Woohyok Chang_RETINA PHOTO 2015 Color fundus photograph of the left eye of a 65-year-old man with organizing subhyaloid hemorrhage secondary to branch retinal vein occlusion. Contact Details: Email: changwh@ynu.ac.kr Cell Phone:...

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Macular Hemathoma Due to ARMD in the Era of Anti-VEGF: Has Anything Changed?

http://www.evrs.eu/medias/2010/congress/Hemorrhages.flv Jean-François Le Rouic, Frank Becquet, Didier Ducournau (Nantes, France) Introduction:  Although anti-VEGF therapy is a breakthrough in the treatment of exudative age-related macular degeneration (ARMD), sub-macular haemorrhage remains a major concern which may still need surgical treatment when the bleeding is large and thick.  We wondered if the main characteristics and the...

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Peripheral Temporal Retinotomy for the Evacuation of Submacular Blood Clots Secondary to Retinal Arterial Macroaneurysms

http://www.evrs.eu/medias/2010/congress/Hemorrhages.flv Hassan Mortada (Cairo, Egypt) Advantages:  One hundred and eighty degree peripheral temporal retinotomy, just posterior to the ora serrata allows free access to the sub-retinal space.  It allows complete removal of unabsorbed sub macular blood clot secondary to retinal arterial macroaneurysms.  Peripheral retinotomies are associated with less risk of epiretinal proliferation than...

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