Abstract

HERAS-MULERO, H. et al. Traumatic submacular hemorrhage treated with rt-PA and SF₆. Arch Soc Esp Oftalmol [online]. 2007, vol.82, n.8, pp.517-520. ISSN 0365-6691.

Case report: This patient was afflicted by a traumatic submacular hemorrhage. A posterior vitrectomy was performed and intravitreal rt-PA and SF6 were administered. Four weeks later, the visual acuity had increased from 0.1 to 0.8. No complications due to the treatment with rt-PA were reported. Discussion: It is known that waiting for the spontaneous blood removal in such cases results in a poor visual acuity recovery due to a toxic effect of the blood products. Both rt-PA and the SF₆ are useful for the treatment of submacular hemorrhages secondary to age-related macular degeneration, and this case report has shown they are also useful to lyse traumatic blood clots, thus contributing to a better recovery of visual acuity.

Keywords : rt-PA; submacular hemorrhage; ocular trauma; tissue plasminogen activator; subfoveal blood.

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