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Article: Surgical management of massive sub-macular hemorrhage associated with age-related macular degeneration

TitleSurgical management of massive sub-macular hemorrhage associated with age-related macular degeneration
Authors
Keywords180° retinectomy
Large submacular haemorrhage
Subretinal blood removal
Issue Date2008
PublisherLippincott Williams & Wilkins. The Journal's web site is located at http://www.retinalcases.com/
Citation
Retinal Cases & Brief Reports, 2008, v. 3 n. 4, p. 391-394 How to Cite?
AbstractPurpose: To investigate the safety and efficacy of surgical drainage of massive and elevated submacular hemorrhage associated with age-related macular degeneration through circumferential peripheral 180° temporal retinotomy. Methods: Prospective interventional case series of first eyes of six consecutive patients with large elevated submacular hemorrhage. The surgical approach consisted of combined cataract surgery, three-port pars plana vitrectomy, induction of retinal detachment, and circumferential peripheral temporal 180° retinotomy. The temporal retina was reflected and the solid blood clot was removed with a vitreous cutter along with the choroidal neovascular complex. Silicone oil was used as an internal temponade in all patients. Complete clinical examination was performed in all cases preoperatively and postoperatively at 1 and 3 months. After removal of silicone oil, the patients were observed for 12 months. Results: Submacular hemorrhage was completely removed in all cases the next day after the surgery. All patients experienced improvement of central scotoma. Twelve months after silicone oil removal, visual acuity was defined as improvement in 5 eyes (83%) and stable in 1 eye (17%). No recurrence or complications were observed during the period of follow-up. Conclusion: Our surgical approach could be efficacious to remove a large elevated submacular hemorrhage that is not feasible for any other treatment. It may help to improve the central scotoma and results in limited visual improvement in selected patients.
Persistent Identifierhttp://hdl.handle.net/10722/60892
ISSN
2015 SCImago Journal Rankings: 0.171

 

DC FieldValueLanguage
dc.contributor.authorGibran, SKen_HK
dc.contributor.authorRomano, MRen_HK
dc.contributor.authorWong, DSHen_HK
dc.date.accessioned2010-05-31T04:21:16Z-
dc.date.available2010-05-31T04:21:16Z-
dc.date.issued2008en_HK
dc.identifier.citationRetinal Cases & Brief Reports, 2008, v. 3 n. 4, p. 391-394en_HK
dc.identifier.issn1935-1089-
dc.identifier.urihttp://hdl.handle.net/10722/60892-
dc.description.abstractPurpose: To investigate the safety and efficacy of surgical drainage of massive and elevated submacular hemorrhage associated with age-related macular degeneration through circumferential peripheral 180° temporal retinotomy. Methods: Prospective interventional case series of first eyes of six consecutive patients with large elevated submacular hemorrhage. The surgical approach consisted of combined cataract surgery, three-port pars plana vitrectomy, induction of retinal detachment, and circumferential peripheral temporal 180° retinotomy. The temporal retina was reflected and the solid blood clot was removed with a vitreous cutter along with the choroidal neovascular complex. Silicone oil was used as an internal temponade in all patients. Complete clinical examination was performed in all cases preoperatively and postoperatively at 1 and 3 months. After removal of silicone oil, the patients were observed for 12 months. Results: Submacular hemorrhage was completely removed in all cases the next day after the surgery. All patients experienced improvement of central scotoma. Twelve months after silicone oil removal, visual acuity was defined as improvement in 5 eyes (83%) and stable in 1 eye (17%). No recurrence or complications were observed during the period of follow-up. Conclusion: Our surgical approach could be efficacious to remove a large elevated submacular hemorrhage that is not feasible for any other treatment. It may help to improve the central scotoma and results in limited visual improvement in selected patients.-
dc.languageengen_HK
dc.publisherLippincott Williams & Wilkins. The Journal's web site is located at http://www.retinalcases.com/-
dc.relation.ispartofRetinal Cases & Brief Reportsen_HK
dc.rightsThis is a non-final version of an article published in final form in (provide complete journal citation)-
dc.subject180° retinectomy-
dc.subjectLarge submacular haemorrhage-
dc.subjectSubretinal blood removal-
dc.titleSurgical management of massive sub-macular hemorrhage associated with age-related macular degenerationen_HK
dc.typeArticleen_HK
dc.identifier.openurlhttp://library.hku.hk:4550/resserv?sid=HKU:IR&issn=1935-1089&volume=3&issue=4&spage=391&epage=394&date=2008&atitle=Surgical+management+of+massive+sub-macular+hemorrhage+associated+with+age-related+macular+degeneration-
dc.identifier.emailWong, DSH: shdwong@hku.hken_HK
dc.identifier.authorityWong, DSH=rp00516en_HK
dc.identifier.doi10.1097/ICB.0b013e31818a470e-
dc.identifier.hkuros153964en_HK
dc.identifier.volume3-
dc.identifier.issue4-
dc.identifier.spage391-
dc.identifier.epage394-

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