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Intraoperative optical coherence tomography-guided subretinal cocktail injection in a case of ruptured retinal artery macro-aneurysm with multilevel bleed

Submacular hemorrhage (SMH) following ruptured retinal artery macro aneurysm (RRAM) has better prognosis as compared to other etiologies. Timely intervention from as early as 24 h to less than 7 days is known to provide better visual outcomes in such cases. A variety of surgical techniques have been...

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Autores principales: Kumar, Atul, Sundar, M Dheepak, Chawla, Rohan, Agarwal, Divya, Hasan, Nasiq
Formato: Online Artículo Texto
Lenguaje:English
Publicado: Wolters Kluwer - Medknow 2020
Materias:
Acceso en línea:https://www.ncbi.nlm.nih.gov/pmc/articles/PMC7574110/
https://www.ncbi.nlm.nih.gov/pubmed/32587201
http://dx.doi.org/10.4103/ijo.IJO_1803_19
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author Kumar, Atul
Sundar, M Dheepak
Chawla, Rohan
Agarwal, Divya
Hasan, Nasiq
author_facet Kumar, Atul
Sundar, M Dheepak
Chawla, Rohan
Agarwal, Divya
Hasan, Nasiq
author_sort Kumar, Atul
collection PubMed
description Submacular hemorrhage (SMH) following ruptured retinal artery macro aneurysm (RRAM) has better prognosis as compared to other etiologies. Timely intervention from as early as 24 h to less than 7 days is known to provide better visual outcomes in such cases. A variety of surgical techniques have been described in the treatment of RRAM. In this case report, we describe the advantages of intraoperative optical coherence tomography-guided sub-retinal injection of a cocktail mixture consisting of recombinant tissue plasminogen activator, bevacizumab, and air. Faster visual recovery with an immediate displacement of sub-macular bleed can be achieved with this technique in cases of RRAM-associated SMH.
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spelling pubmed-75741102020-10-22 Intraoperative optical coherence tomography-guided subretinal cocktail injection in a case of ruptured retinal artery macro-aneurysm with multilevel bleed Kumar, Atul Sundar, M Dheepak Chawla, Rohan Agarwal, Divya Hasan, Nasiq Indian J Ophthalmol Case Reports Submacular hemorrhage (SMH) following ruptured retinal artery macro aneurysm (RRAM) has better prognosis as compared to other etiologies. Timely intervention from as early as 24 h to less than 7 days is known to provide better visual outcomes in such cases. A variety of surgical techniques have been described in the treatment of RRAM. In this case report, we describe the advantages of intraoperative optical coherence tomography-guided sub-retinal injection of a cocktail mixture consisting of recombinant tissue plasminogen activator, bevacizumab, and air. Faster visual recovery with an immediate displacement of sub-macular bleed can be achieved with this technique in cases of RRAM-associated SMH. Wolters Kluwer - Medknow 2020-07 2020-06-25 /pmc/articles/PMC7574110/ /pubmed/32587201 http://dx.doi.org/10.4103/ijo.IJO_1803_19 Text en Copyright: © 2020 Indian Journal of Ophthalmology http://creativecommons.org/licenses/by-nc-sa/4.0 This is an open access journal, and articles are distributed under the terms of the Creative Commons Attribution-NonCommercial-ShareAlike 4.0 License, which allows others to remix, tweak, and build upon the work non-commercially, as long as appropriate credit is given and the new creations are licensed under the identical terms.
spellingShingle Case Reports
Kumar, Atul
Sundar, M Dheepak
Chawla, Rohan
Agarwal, Divya
Hasan, Nasiq
Intraoperative optical coherence tomography-guided subretinal cocktail injection in a case of ruptured retinal artery macro-aneurysm with multilevel bleed
title Intraoperative optical coherence tomography-guided subretinal cocktail injection in a case of ruptured retinal artery macro-aneurysm with multilevel bleed
title_full Intraoperative optical coherence tomography-guided subretinal cocktail injection in a case of ruptured retinal artery macro-aneurysm with multilevel bleed
title_fullStr Intraoperative optical coherence tomography-guided subretinal cocktail injection in a case of ruptured retinal artery macro-aneurysm with multilevel bleed
title_full_unstemmed Intraoperative optical coherence tomography-guided subretinal cocktail injection in a case of ruptured retinal artery macro-aneurysm with multilevel bleed
title_short Intraoperative optical coherence tomography-guided subretinal cocktail injection in a case of ruptured retinal artery macro-aneurysm with multilevel bleed
title_sort intraoperative optical coherence tomography-guided subretinal cocktail injection in a case of ruptured retinal artery macro-aneurysm with multilevel bleed
topic Case Reports
url https://www.ncbi.nlm.nih.gov/pmc/articles/PMC7574110/
https://www.ncbi.nlm.nih.gov/pubmed/32587201
http://dx.doi.org/10.4103/ijo.IJO_1803_19
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