Subretinal TPA for PPCNVM with POHS

file Retina Image Bank

File number: 28788


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    Appears in
    SRH PPCNVM POHS Subretinal TPA
    Condition/keywords
    presumed ocular histoplasmosis syndrome (POHS)
    Imaging device
    Fundus camera
    Topcan 50
    Description
    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. This is the pre and post-op OCTs. The right image shows decreased SRF/H with improved foveal foveal contour.

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