A 90 year old woman presented with sudden loss of central vision OS of 1 week.
Her VA was finger counting OS, with mild-moderate vitreous hemorrhage and large preretinal and subretinal hemorrhage, felt to be due to AMD or retinal artery macroaneurysm.
She underwent pars plana vitrectomy, submacular tissue plasminogen activator injection, gas injection, face down positioning.
Follow up 3 months later showed VA: 20/80 OS.
Angiography shows resolution of submacular hemorrhage, no active CNVM, and no active retinal artery macroaneurysm.
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ILM Peeling With 25-Gauge Membrane Scraper and Brilliant Blue
Jun 5 2016 by Thomas A. Ciulla, MD, MBA, FASRS
ILM peeling with 25-gauge membrane scraper and brilliant blue.
Condition/keywords: brilliant blue, internal limiting membrane (ILM) peeling, macular hole, vitrectomy
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Jun 5 2016 by Thomas A. Ciulla, MD, MBA, FASRS
ILM peeling with 25-gauge diamond dusted membrane brush and brilliant blue dye.
Condition/keywords: brilliant blue, internal limiting membrane (ILM) peeling, macular hole, pars plana vitrectomy (PPV)
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Pre-Op Photos Showing Vitreous, Preretinal and Subretinal Hemorrhage
Aug 10 2014 by Thomas A. Ciulla, MD, MBA, FASRS
A 90-year-old woman presented with sudden loss of central vision OS of 1 week. Her VA was finger counting OS, with mild-moderate vitreous hemorrhage and large preretinal and subretinal hemorrhage, felt to be due to AMD or retinal artery macroaneurysm.
Condition/keywords: submacular hemorrhage, tissue plasminogen activator (tPA), vitrectomy, wet age-related macular degeneration (wet AMD)
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Early Phase Angiogram Showing Vitreous, Preretinal and Subretinal Hemorrhage
Aug 10 2014 by Thomas A. Ciulla, MD, MBA, FASRS
A 90-year-old woman presented with sudden loss of central vision OS of 1 week. Her VA was finger counting OS, with mild-moderate vitreous hemorrhage and large preretinal and subretinal hemorrhage, felt to be due to AMD or retinal artery macroaneurysm.
Condition/keywords: submacular hemorrhage, tissue plasminogen activator (tPA), vitrectomy, wet age-related macular degeneration (wet AMD)
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Late Phase Angiogram Showing Vitreous, Preretinal and Subretinal Hemorrhage
Aug 10 2014 by Thomas A. Ciulla, MD, MBA, FASRS
A 90-year-old woman presented with sudden loss of central vision OS of 1 week. Her VA was finger counting OS, with mild-moderate vitreous hemorrhage and large preretinal and subretinal hemorrhage, felt to be due to AMD or retinal artery macroaneurysm.
Condition/keywords: submacular hemorrhage, tissue plasminogen activator (tPA), vitrectomy, wet age-related macular degeneration (wet AMD)
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Post Vitrectomy Color Fundus Photo Showing Resolution of Hemorrhage
Aug 10 2014 by Thomas A. Ciulla, MD, MBA, FASRS
She underwent pars plana vitrectomy, submacular tissue plasminogen activator injection, gas injection, face down positioning. Follow up 3 months later showed VA: 20/80 OS. Color fundus photos show resolution of hemorrhage.
Condition/keywords: post-vitrectomy, submacular hemorrhage, tissue plasminogen activator (tPA), wet age-related macular degeneration (wet AMD)
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Post Vitrectomy Early Phase Angiogram
Aug 10 2014 by Thomas A. Ciulla, MD, MBA, FASRS
She underwent pars plana vitrectomy, submacular tissue plasminogen activator injection, gas injection, face down positioning. Follow up 3 months later showed VA: 20/80 OS. Angiography shows resolution of submacular hemorrhage, no active CNVM, and no retinal artery macroaneurysm.
Condition/keywords: post-vitrectomy, submacular hemorrhage, tissue plasminogen activator (tPA), wet age-related macular degeneration (wet AMD)
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Post Vitrectomy Late Phase Angiogram
Aug 10 2014 by Thomas A. Ciulla, MD, MBA, FASRS
She underwent pars plana vitrectomy, submacular tissue plasminogen activator injection, gas injection, face down positioning. Follow up 3 months later showed VA: 20/80 OS. Angiography shows resolution of submacular hemorrhage, no active CNVM, and no retinal artery macroaneurysm.
Condition/keywords: post-vitrectomy, submacular hemorrhage, tissue plasminogen activator (tPA), wet age-related macular degeneration (wet AMD)
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Post Vitrectomy OCT Showed Atrophy and No Exudation
Aug 10 2014 by Thomas A. Ciulla, MD, MBA, FASRS
Post vitrectomy OCT showed atrophy and no exudation. VA 20/80.
Condition/keywords: post-vitrectomy, submacular hemorrhage, tissue plasminogen activator (tPA), wet age-related macular degeneration (wet AMD)