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By Fang Helen Mi
National Healthcare Group Eye Institute, Tan Tock Seng Hospital
Co-author(s): Dr Gan Yi'an Nicola, Consultant, National Healthcare Group Eye Institute, Tan Tock Seng Hospital - Uploaded on Jul 5, 2021.
- Last modified by Caroline Bozell on Jul 6, 2021.
- Rating
- Appears in
- Sub Macular Hemorrhage secondary to Polypoidal Choroidal Vasculopathy
- Condition/keywords
- submacular hemorrhage, Rivaroxaban, polypoidal choroidal vasculopathy (PCV)
- Imaging device
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Fundus camera
Clarus Camera - Description
- A 69-year-old gentleman with a history of atrial fibrillation on Factor Xa inhibitor (rivaroxaban) presented to the Ophthalmology service with acute blurring of vision in the right eye one day after intravitreal aflibercept injection. Fundus examination revealed a massive foveal-involving sub-macular hemorrhage with associated serosanguineous retinal detachment and hemorrhagic retinal pigment epithelial detachment. This multi-layer retinal hemorrhage was further confirmed with optical coherence tomography.