Cargando…
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...
Autores principales: | , , , , |
---|---|
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 |
_version_ | 1783597576389394432 |
---|---|
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. |
format | Online Article Text |
id | pubmed-7574110 |
institution | National Center for Biotechnology Information |
language | English |
publishDate | 2020 |
publisher | Wolters Kluwer - Medknow |
record_format | MEDLINE/PubMed |
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 |
work_keys_str_mv | AT kumaratul intraoperativeopticalcoherencetomographyguidedsubretinalcocktailinjectioninacaseofrupturedretinalarterymacroaneurysmwithmultilevelbleed AT sundarmdheepak intraoperativeopticalcoherencetomographyguidedsubretinalcocktailinjectioninacaseofrupturedretinalarterymacroaneurysmwithmultilevelbleed AT chawlarohan intraoperativeopticalcoherencetomographyguidedsubretinalcocktailinjectioninacaseofrupturedretinalarterymacroaneurysmwithmultilevelbleed AT agarwaldivya intraoperativeopticalcoherencetomographyguidedsubretinalcocktailinjectioninacaseofrupturedretinalarterymacroaneurysmwithmultilevelbleed AT hasannasiq intraoperativeopticalcoherencetomographyguidedsubretinalcocktailinjectioninacaseofrupturedretinalarterymacroaneurysmwithmultilevelbleed |