31Dec 2016

A CASE OF UNUSUAL PRESENTATION OF MASSIVE SUBMACULAR HEMORRHAGE

  • Department of Ophthalmology - King Faisal Specialist hospital, Jeddah, Saudi Arabia.
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Eighty -one years old female patient admitted to Ophthalmology department, with poor vision in her right eye. She had wet age related macular degeneration (ARMD) and glaucoma in both eyes and she was on xalatan. On examination, right eye showed posterior chamber intraocular lens (Pciol) in place, retina showed fibrovascular pigment epitheleal detachment, fovea dry, shifting subretinal fluid with some subretinal bleeding superior to the fovea whereas left eye lens showed nuclear sclerosis (NS) 3+, retina showed macular drusen, fibrovascular pigment epithelial detachment with minimal SRF and flat retina. The diagnosis was submacular hemorrhage. The patient was treated through inject lucentis, TPA and SF6 gas intravitreal under sedation in the right eye. On follow-up, the patient showed great improvement in the form of decrease in subretinal fluid and the hemorrhages. In conclusion, intravitreal injection of lucentis, TPA and SF6 gas lead to improvement of cases presented with massive submacular hemorrhage.

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[khalid Omair Alshehri, Saad Waheeb and Abdulaziz Alshehri. (2016); A CASE OF UNUSUAL PRESENTATION OF MASSIVE SUBMACULAR HEMORRHAGE Int. J. of Adv. Res. 4 (Dec). 1543-1547] (ISSN 2320-5407). www.journalijar.com

Prof. Moataz Abdel-Fattah

DOI:

Article DOI: 10.21474/IJAR01/2553      
DOI URL: http://dx.doi.org/10.21474/IJAR01/2553

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