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Postoperative Multimodal Analysis in Successful Gas Displacement of a Submacular Hemorrhage
In this report, we describe a case of timely gas vitrectomy to displace a moderate submacular hemorrhage from the submacular space without tPA, release vitreoretinal traction along the borders of a posterior retinal tear, and analyze postoperative multimodal imaging findings in a 34-year-old male pa...
Autores principales: | , , , , , , |
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Formato: | Online Artículo Texto |
Lenguaje: | English |
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Hindawi
2021
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Materias: | |
Acceso en línea: | https://www.ncbi.nlm.nih.gov/pmc/articles/PMC8195657/ https://www.ncbi.nlm.nih.gov/pubmed/34188966 http://dx.doi.org/10.1155/2021/5577826 |
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author | Urrea-Victoria, Tatiana Fulda-Graue, Emiliano Quiroz-Reyes, Miguel A. Esparza-Correa, Felipe Nieto-Jordan, Alejandra Quiroz-Gonzalez, Erick A. Graue-Wiechers, Federico |
author_facet | Urrea-Victoria, Tatiana Fulda-Graue, Emiliano Quiroz-Reyes, Miguel A. Esparza-Correa, Felipe Nieto-Jordan, Alejandra Quiroz-Gonzalez, Erick A. Graue-Wiechers, Federico |
author_sort | Urrea-Victoria, Tatiana |
collection | PubMed |
description | In this report, we describe a case of timely gas vitrectomy to displace a moderate submacular hemorrhage from the submacular space without tPA, release vitreoretinal traction along the borders of a posterior retinal tear, and analyze postoperative multimodal imaging findings in a 34-year-old male patient whose right eye was injured by a stone. The patient underwent a successful nontissue plasminogen activator gas vitrectomy 3 days after the accident. A multimodal evaluation with spectral-domain optical coherence tomography (SD-OCT), 10-2 and 30-2 campimetry, microperimetry, multifocal electroretinography (mfERG), and visual evoked potentials was performed 6 months after the accident. The multimodal imaging tests yielded abnormal foveal SD-OCT patterns, with a fibrous sealed tear in the retinal pigment epithelium. Campimetry showed low levels of retinal sensitivity; microperimetry and mfERG revealed a subnormal retinal response and a reduction in the N1 and P1 wave amplitudes. The visual evoked potential responses were normal. Multidisciplinary examination at 6 months postoperatively revealed a structurally and functionally abnormal macula. The retina remained attached. Our functional findings indicate that submacular hemorrhage should be treated in a timely manner to minimize photoreceptor damage. |
format | Online Article Text |
id | pubmed-8195657 |
institution | National Center for Biotechnology Information |
language | English |
publishDate | 2021 |
publisher | Hindawi |
record_format | MEDLINE/PubMed |
spelling | pubmed-81956572021-06-28 Postoperative Multimodal Analysis in Successful Gas Displacement of a Submacular Hemorrhage Urrea-Victoria, Tatiana Fulda-Graue, Emiliano Quiroz-Reyes, Miguel A. Esparza-Correa, Felipe Nieto-Jordan, Alejandra Quiroz-Gonzalez, Erick A. Graue-Wiechers, Federico Case Rep Ophthalmol Med Case Report In this report, we describe a case of timely gas vitrectomy to displace a moderate submacular hemorrhage from the submacular space without tPA, release vitreoretinal traction along the borders of a posterior retinal tear, and analyze postoperative multimodal imaging findings in a 34-year-old male patient whose right eye was injured by a stone. The patient underwent a successful nontissue plasminogen activator gas vitrectomy 3 days after the accident. A multimodal evaluation with spectral-domain optical coherence tomography (SD-OCT), 10-2 and 30-2 campimetry, microperimetry, multifocal electroretinography (mfERG), and visual evoked potentials was performed 6 months after the accident. The multimodal imaging tests yielded abnormal foveal SD-OCT patterns, with a fibrous sealed tear in the retinal pigment epithelium. Campimetry showed low levels of retinal sensitivity; microperimetry and mfERG revealed a subnormal retinal response and a reduction in the N1 and P1 wave amplitudes. The visual evoked potential responses were normal. Multidisciplinary examination at 6 months postoperatively revealed a structurally and functionally abnormal macula. The retina remained attached. Our functional findings indicate that submacular hemorrhage should be treated in a timely manner to minimize photoreceptor damage. Hindawi 2021-06-03 /pmc/articles/PMC8195657/ /pubmed/34188966 http://dx.doi.org/10.1155/2021/5577826 Text en Copyright © 2021 Tatiana Urrea-Victoria et al. https://creativecommons.org/licenses/by/4.0/This is an open access article distributed under the Creative Commons Attribution License, which permits unrestricted use, distribution, and reproduction in any medium, provided the original work is properly cited. |
spellingShingle | Case Report Urrea-Victoria, Tatiana Fulda-Graue, Emiliano Quiroz-Reyes, Miguel A. Esparza-Correa, Felipe Nieto-Jordan, Alejandra Quiroz-Gonzalez, Erick A. Graue-Wiechers, Federico Postoperative Multimodal Analysis in Successful Gas Displacement of a Submacular Hemorrhage |
title | Postoperative Multimodal Analysis in Successful Gas Displacement of a Submacular Hemorrhage |
title_full | Postoperative Multimodal Analysis in Successful Gas Displacement of a Submacular Hemorrhage |
title_fullStr | Postoperative Multimodal Analysis in Successful Gas Displacement of a Submacular Hemorrhage |
title_full_unstemmed | Postoperative Multimodal Analysis in Successful Gas Displacement of a Submacular Hemorrhage |
title_short | Postoperative Multimodal Analysis in Successful Gas Displacement of a Submacular Hemorrhage |
title_sort | postoperative multimodal analysis in successful gas displacement of a submacular hemorrhage |
topic | Case Report |
url | https://www.ncbi.nlm.nih.gov/pmc/articles/PMC8195657/ https://www.ncbi.nlm.nih.gov/pubmed/34188966 http://dx.doi.org/10.1155/2021/5577826 |
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