Management of Submacular Hemorrhage

file Retina Image Bank

File number: 52791


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    • By Anfisa Ayalon, MD
      University of Pittsburgh Medical Center
      Co-author(s): Alexander Rubowitz, MD., Chen Shtayer, MD., Meir Medical Center, Kfar Saba, Israel.
    • Uploaded on Mar 22, 2020.
    • Last modified by Caroline Bozell on Mar 24, 2020.
    Appears in
    submacular hemorrhage, wet age-related macular degeneration (wet AMD), vitreomacular surgery, spontaneous submacular hemorrhage
    Anfisa Ayalon, MD., Meir Medical Center, Kfar Saba, Israel.
    Imaging device
    Fundus camera
    Intraoperative images were taken during the management of submacular hemorrhage in age-related macular degeneration. The goal of the surgery was the physical displacement of SMH out of the fovea using expansile gas. The image from the left was done during ILM peeling. Note the massive collection of subretinal blood. The image from the right was done after submacular injection of t-PA, bevacizumab and filtered air. Intravitreal injection of 20% SF6 completed the surgery. The visual acuity improved after the surgery from HM to 1/60.

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