Neovascular age-related macular degeneration with submacular hemorrhage

1. Color retinography showing a subretinal hemorrhage at the macular level of the right eye.

Post-surgical color retinography showing the inferior displacement of part of the submacular hemorrhage in the right eye.

Color retinography taken during the postoperative period, showing residual hemorrhages and neovascular age-related macular degeneration in the right eye.

Description

Submacular hemorrhage is one of the complications of neovascular age-related macular degeneration. This hemorrhage can damage photoreceptors early, so it is important to perform a treatment preferably to displace the hemorrhage outside the macular area. One of these treatments is pars plana vitrectomy with subretinal rTPA injection and air exchange up to 50-70% of the volume of the vitreous cavity, to displace the hemorrhage.

Comments

Indication

A 73-year-old woman with neovascular age-related macular degeneration presented with a subretinal macular hemorrhage in her right eye. She underwent pars plana vitrectomy with subretinal rTPA, air exchange up to 60%, and intravitreal injection of aflibercept. Her visual acuity improved from counting fingers to 0.15 (Snellen, decimal).