Management of Submacular Hemorrhage

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    • By Anfisa Ayalon, MD
      McGill University
      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.
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    Appears in
    Miscellaneous
    Condition/keywords
    optical coherence tomography (OCT), submacular hemorrhage, age-related macular degeneration (AMD)
    Photographer
    Anfisa Ayalon, MD., Meir Medical Center, Kfar Saba, Israel.
    Imaging device
    Optical coherence tomography system
    Description
    Submacular hemorrhage in age-related macular degeneration. Image A: SD-OCT before the surgery. Note widespread submacular hemorrhage with subretinal fluid and RPE detachment. Image B: SD-OCT after the surgery (PPV+ERM and ILM peeling+Submacular injection of t-PA, bevacizumab and filtered air+ Intravitreal injection of 20% SF6 ). Note remaining RPE detachment with no OCT signs of submacular hemorrhage. The visual acuity improved after the surgery from HM to 1/60.

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