The Surgical Removal of Macular Subretinal Hemorrhage.

Kim, Nam Soo; Yun, Young Du; Kwon, Oh Woong

Original Article

Journal of the Korean Ophthalmological Society 1996;37(7):1149-1153.
Published online July 1, 1996.

The Surgical Removal of Macular Subretinal Hemorrhage.

Nam Soo Kim, Young Du Yun, Oh Woong Kwon

Department of Ophthalmology, College of Medicine, Yonsei University, Seoul, Korea.

중심와하 출혈의 수술적 치료

윤영두(Young Du Yun),김남수(Nam Soo Kim),권오웅(Oh Woong Kwon)

Abstract

Subretinal hemorrhage affecting the macula may occur secondary to a variety of etiologies and often results in significant visual loss. Recently, we removed five subretinal hemorrhage affecting the macula by means of vitrectomy combined with the use of tissue plasminogen activator(20-40ug) to facilitate clot removal throught a small retinotomy. Mean follow up period was 7 months. The significant visual improvement(defined as 2 lines) was achieved in 4 of 5 eyes. The postoperative complications were retinal detachment(1 eye), macular fold(1 eye) and recurrent retinal membrane(1 eye). These results suggested that subretinal hemorrhage affecting the macula can be surgically removed with improvement of central vision.

Key Words: Subretinal hemorrhage;Surgical removal;Tissue plasminogen activator