Tissue Plasminogen Activator for Treatment of Subretinal Hemorrhage. |
No Hoon Kwak, Jin Seong Yoo, Warne Huh |
Department of Ophthalmology, Catholic University, Medical College, Seoul, Korea. |
Tissue Plasminogen Activator 를 이용한 망막하출혈의 제거 |
곽노훈(No Hoon Kwak),허원(Warne Huh),유진성(Jin Seong Yoo) |
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Abstract |
We report removing a large subretinal hemorrhage by means of vitrectomy combined with the use of tissue plasminogen activator(tPA) to facilitate clot removal. A 25-year-old man had a 4 days history of visual loss in the right eye after blunt trauma. The right fundus had a large subretinal hemorrhage involving macula. Surgery was performed the following day. A small retinotomy was made, through which tPA was injected into the subretinal space and through which the dissolved clot was removed. The use of tPA minimizes surgical manipulation of the retina and greatly reduces the size of the retinotomy reguired for evacuation of subretinal bood. Although the long-term prognosis is guarded, this case does suggest that tPA may be a useful adjunct in managing of subretinal hemorrhage. |
Key Words:
Subretinal hemorrhage;Tissue plasminogen Activator |