Pneumatic Displacement with Perfluoropropane Gas and Intravitreal Tissue Plasminogen Activator for Subretinal Subfoveal Hemorrhage after Focal Laser Photocoagulation in Central Serous Chorioretinopathy
Joint Authors
Espinoza, Juan V.
Lasave, Andres F.
Savino-Zari, Dario
Arevalo, Fernando A.
Arevalo, J. Fernando
al-Rubaie, Khalid
Source
Case Reports in Ophthalmological Medicine
Issue
Vol. 2014, Issue 2014 (31 Dec. 2014), pp.1-4, 4 p.
Publisher
Hindawi Publishing Corporation
Publication Date
2014-11-17
Country of Publication
Egypt
No. of Pages
4
Main Subjects
Abstract EN
Objective.
To report the visual and anatomic outcomes of pneumatic displacement with perfluoropropane (C3F8) gas and intravitreal tissue plasminogen activator (IVTPA) for subretinal subfoveal hemorrhage after focal laser photocoagulation in central serous chorioretinopathy (CSCR).
Method.
Interventional, retrospective case report of one eye (one patient).
Outcome measures included visual acuity (VA), central macular thickness (CMT), and size of the lesion at two weeks of followup.
Fluorescein angiography (FA) and optical coherent tomography (OCT) were used to measure anatomic outcomes.
Results.
A 35-year-old man with history of chronic CSCR received focal laser photocoagulation in the right eye two days before presentation.
At initial examination, VA was 20/200 (ETDRS chart), CMT was 398 μ, and a subretinal subfoveal hemorrhage was seen.
Tissue plasminogen activator (tPA) at a dose of 25 µg/0.1 mL was injected intravitreally before intravitreal C3F8 injection, and prone positioning was indicated postoperatively.
At 24 hours, the hemorrhage had been displaced inferiorly and VA improved to 20/100.
Two weeks later, VA improved to 20/80, CMT decreased to 225 μ, and the hemorrhage decreased without foveal involvement.
Conclusions.
The technique seems safe and effective in treating visually significant subretinal subfoveal hemorrhage.
American Psychological Association (APA)
al-Rubaie, Khalid& Espinoza, Juan V.& Lasave, Andres F.& Savino-Zari, Dario& Arevalo, Fernando A.& Arevalo, J. Fernando. 2014. Pneumatic Displacement with Perfluoropropane Gas and Intravitreal Tissue Plasminogen Activator for Subretinal Subfoveal Hemorrhage after Focal Laser Photocoagulation in Central Serous Chorioretinopathy. Case Reports in Ophthalmological Medicine،Vol. 2014, no. 2014, pp.1-4.
https://search.emarefa.net/detail/BIM-1034867
Modern Language Association (MLA)
al-Rubaie, Khalid…[et al.]. Pneumatic Displacement with Perfluoropropane Gas and Intravitreal Tissue Plasminogen Activator for Subretinal Subfoveal Hemorrhage after Focal Laser Photocoagulation in Central Serous Chorioretinopathy. Case Reports in Ophthalmological Medicine No. 2014 (2014), pp.1-4.
https://search.emarefa.net/detail/BIM-1034867
American Medical Association (AMA)
al-Rubaie, Khalid& Espinoza, Juan V.& Lasave, Andres F.& Savino-Zari, Dario& Arevalo, Fernando A.& Arevalo, J. Fernando. Pneumatic Displacement with Perfluoropropane Gas and Intravitreal Tissue Plasminogen Activator for Subretinal Subfoveal Hemorrhage after Focal Laser Photocoagulation in Central Serous Chorioretinopathy. Case Reports in Ophthalmological Medicine. 2014. Vol. 2014, no. 2014, pp.1-4.
https://search.emarefa.net/detail/BIM-1034867
Data Type
Journal Articles
Language
English
Notes
Includes bibliographical references
Record ID
BIM-1034867