Dr. KSHITIZ KUMAR

Abstract

Purpose: To evaluate the anatomical and functional outcome of patients with submacular hemorrhage (SMH). Methods: Retrospective, interventional case series. Results: Twenty two eyes with submacular haemorrhage were analyzed. Mean age was 60.8 years of 63% female patients. PCV(13 eyes) followed by CNVM(3) & trauma(3) were the most common etiology.14 patients had small size(1-4DD)SMH and 6 patients had large size (>5DD) SMH. Pneumatic displacement (PD) with intravitreal gas [100% (C3F8)] & intravitreal ranibizumab (IVR) was used in 11 patients, PD with recombinant tissue plasminogen activator (r-tpa) was used in 7 eyes and Vitrectomy with subretinal cockatil mixture (r-tpa+IVR+air) was used in 4 eyes. BCVA improved from 1.06 logMAR to 0.6 logMAR. 77%(17) eyes achieved complete displacement of SMH. >2 line improvement in vision happened in 16/22 patients. Conclusion: This study demonstrated that favourable outcome can be expected through appropriate treatment strategy for SMH.