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Planned two-step vitrectomy for massive subretinal hemorrhage in age-related macular degeneration Aya Hirano 1 , Taku Kaneko 1 , Shinobu Takeuchi 1 1Sec Dept of Ophthalmol, Toho Univ Sch of Med pp.1241-1245
Published Date 2007/7/15
DOI https://doi.org/10.11477/mf.1410101844
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Abstract. Purpose:To report a case of age-related macular degeneration with massive subretinal hemorrhage treated by planned two-step vitrectomy. Case:A 73-year-old male noted sudden visual field defect in his left eye. He had been diagnosed with age-related macular degeneration 9 years before. Findings:His corrected visual acuity was 1.2 right and 0.01 left. The left eye had dense vitreous hemorrhage. Ultrasonography showed hemorrhagic retinal detachment in the left fundus. Clinical Course:He received vitrectomy, phacoemulsification-aspiration, and intraocular lens implantation. Tissue plasminogen activator was injected into the subretinal hematoma, peripheral retinotomy was made, silicone oil was injected into the vitreous cavity and corneal incision was made. Hemorrhage shifted into the anterior chamber and was evacuated through a corneal wound after the patient took face-down position. The retina became reattached after two additional surgeries. Result:Subretinal hemorrhage disappeared leaving atrophic macula, intact peripheral visual field and visual acuity of finger counting one year after surgery. Conclusion:The present approach is effective with minimal surgical insult for massive subretinal hemorrhage.


Copyright © 2007, Igaku-Shoin Ltd. All rights reserved.

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電子版ISSN 1882-1308 印刷版ISSN 0370-5579 医学書院

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