10 Days Post Subretinal TPA

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File number: 28787


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    SRH PPCNVM POHS Subretinal TPA
    presumed ocular histoplasmosis syndrome (POHS), choroidal neovascular membrane (CNVM), peripapillary hemorrhage
    Kay Dalby
    Imaging device
    Fundus camera
    Topcon 50
    76-year-old white male with history of treat/extend with Eylea OD for a PPCNVM; also monocular due to large scar in fellow eye. Two months since last injection, had acute decrease in vision OD and was seen that day. Vision CF; moderate SRH involving the fovea. Discussed monotherapy with anti-VEGF vs displacement, and elected for PPV, srTPA, AFx, SF6. Total of 0.2 cc of 25 microgram/0.1 ml of srTPA administered from two different areas in the temporal macula. 10 days post-op vision is improving; 20/200 J7; displacement of heme (photo)

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