ISSN: 2155-9570
Sagarmoy Purkayastha
India
Research Article
"Managing Submacular Haemorrhage (SMH) by Pneumatic Displacement (PD) Only without Using Tissue Plasminogen Activator (tPA)"
Author(s): Gitumoni Sharma, Sagarmoy Purkayastha, Deepshikha Agrawal, Hemanth Murthy and NS MuralidharGitumoni Sharma, Sagarmoy Purkayastha, Deepshikha Agrawal, Hemanth Murthy and NS Muralidhar
Objective: To report results of management of submacular hemorrhage (SMH) by pneumatic displacement (PD) without use of tissue plasminogen activator (tPA).
Methods: This is a retrospective analysis from March 2007-February 2016, of patients presenting with sudden onset dimness of vision due to SMH involving the fovea. Optical coherence tomography was done. Intravitreal injection of pure perfluoropropane 0.3 ml was done under local anesthesia. Patients were instructed to maintain prone position for 7 days for 12 hours per day. After some amount of displacement occurred, funds fluorescein angiography and indocyanin green angiography were done as required to find out cause of bleed. Patients were treated as needed depending on FFA and ICG findings. The main outcome measures were clearing of haemorrhage under the macula and improvement in vision a.. View More»