DR. MARADULA GANGAWAR

DR. DHAIVAT SHAH, DR. ANJU GUPTA

Abstract

Submacular haemorrhage can lead to permanent vision loss due to photoreceptor damage if not treated promptly. A timely management is the key for better outcome in such cases. Treatment options for such cases are clot lysis by r-tissue plasminogen activator (r-TPA) Intravitreal/subretinal with or without vitrectomy or r-TPA along with pneumatic displacement. An anti VEGF injection may be added if the cause of hemorrhage is PCV, RAM etc. In our case report, submacular haemorrhage in a 30 year old young male occurred secondary to blunt trauma. Since it was a fresh hemorrhage, an early intervention in the form of pneumatic displacement was performed. The results were spectacular in displacing the blood successfully from the macula, which were well documented by multimodal imaging. Two months post op result revealed significant improvement in the visual acuity.