Clinical profile and management outcomes of traumatic submacular hemorrhage.
J Curr Ophthalmol
; 31(4): 411-415, 2019 Dec.
Article
em En
| MEDLINE
| ID: mdl-31844792
ABSTRACT
PURPOSE:
To evaluate the anatomical and functional outcome of patients with traumatic submacular hemorrhage (SMH).METHODS:
A retrospective, interventional case series of patients presenting between January 2016 and April 2018 was carried out at 4 tertiary eye care centers of India. Medical records of the patients with a history of blunt trauma and SMH were retrospectively reviewed. The intervention done was any one of the following pneumatic displacement with 0.3 ml of intravitreal gas [100% perfluoropropane (C3F8) gas], pneumatic displacement with intravitreal 0.3 ml of 100% C3F8 gas combined with 100 µg/0.1 ml of recombinant tissue plasminogen activator (r-tpa), pars plana vitrectomy (PPV) with subretinal r-tpa and gas tamponade. The primary outcome measures included change in visual and anatomical status.RESULTS:
Twenty eyes of 20 patients with blunt trauma were analyzed. Thirteen patients had small size SMH, 5 patients had medium size SMH, and 2 patients had massive size SMH. Sixteen patients had a favorable functional outcome, and eighteen patients had favorable anatomical outcome. The size and duration of post-traumatic SMH did not significantly affect the anatomical (P = 0.123) or functional (P = 0.293) outcome in our study. The patients who presented with initial visual acuity of 6/60 or better showed better functional outcome, which was statistically significant (P = 0.007).CONCLUSION:
Minimally non-invasive procedure including intravitreal r-tpa and gas appear to be effective in the displacement of post-traumatic SMH.
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Coleções:
01-internacional
Base de dados:
MEDLINE
Idioma:
En
Revista:
J Curr Ophthalmol
Ano de publicação:
2019
Tipo de documento:
Article
País de afiliação:
Índia