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Subretinal Hemorrhage Management By Pars Plana Vitrectomy and Internal Drainage

Subretinal Hemorrhage Management By Pars Plana Vitrectomy and Internal Drainage Abstract • We reviewed 14 consecutive cases of subretinal hemorrhage involving the macula, in which surgery to remove the hemorrhage was performed by the authors between February 1984 and January 1989. All patients underwent pars plana vitrectomy and internal subretinal hemorrhage drainage. The causes of subretinal hemorrhages in group 1 were primary rhegmatogenous retinal detachments (three eyes), complications from scleral buckling procedures (three eyes), traumatic retinal detachments (two eyes), and sickle cell retinopathy associated with anticoagulation therapy after a pulmonary embolus (one eye). Group 2 consisted of five eyes with massive subretinal hemorrhage associated with age-related macular degeneration. In group I, recurrent postoperative retinal detachment occurred in five eyes but reattachment was achieved in eight of the nine eyes, and final visual acuities were 20/400 or better in those eight eyes. In group 2, marked subretinal fibrosis occurred in two eyes. Although three eyes had improved visual acuities, final visual acuities were 5/200 or worse in all five eyes. References 1. Gillies A, Lahav M. Absorption of retinal and subretinal hemorrhages . Ann Ophthalmol . 1983;15:1068-1074. 2. Antoszyk AN, deJuan E Jr, Landers MB. Subretinal hemorrhage during fluorescein angiography . Am J Ophthalmol . 1987;103:111-112. 3. Orth DH, Flood TP. Management of breakthrough vitreous hemorrhage from presumed extramacular subretinal neovoascularization . Retina . 1982;2:89-93.Crossref 4. Lewis H, Sloan SH, Foos RY. Massive intraocular hemorrhage associated with anticoagulation and age-related macular degeneration . Graefe Arch Clin Exp Ophthalmol . 1988;226:59-64.Crossref 5. Bloome MA, Ruiz RS. Massive spontaneous subretinal hemorrhage . Am J Ophthalmol . 1978;86:630-637. 6. El Baba F, Jarrett WH II, Harbin TS Jr, et al. Massive hemorrhage complicating age-related macular degeneration . Ophthalmology . 1986;93:1581-1592.Crossref 7. Tani PM, Buettner H, Robertson DM. Massive vitreous hemorrhage and senile macular choroidal degeneration . Am J Ophthalmol . 1980;90:525-533. 8. Wood WJ, Smith TR. Senile disciform macular degeneration complicated by massive hemorrhagic retinal detachment and angle closure glaucoma . Retina . 1983;3:296-303.Crossref 9. Kozlowski IMD, Hirose T, Jalkh AE. Massive subretinal hemorrhage with acute angle-closure glaucoma in chronic myelocytic leukemia . Am J Ophthalmol . 1987;103:837-838. 10. Bennett SR, Blodi CF, Folk JC. Factors prognostic of visual outcome in patients with subretinal hemorrhage involving the fovea . Am J Ophthalmol . 1990;109:33-37. 11. Treister G, Machemer R. Results of vitrectomy for rare proliferative and hemorrhagic diseases . Am J Ophthalmol . 1977;84:394-412. 12. DeJuan E Jr, Machemer R. Vitreous surgery for hemorrhagic and fibrous complications of age-related macular degeneration . Am J Ophthalmol . 1988;105:25-29. 13. Hanscom TA, Diddie KR. Early surgical drainage of macular subretinal hemorrhage . Arch Ophthalmol . 1987;105:1722-1723.Crossref 14. Dellaporta A. Retinal damage from subretinal hemorrhage . Am J Ophthalmol . 1983;95:568-570. 15. Flynn HW Jr, Davis JL, Parel JM, Lee WG. Applications of a cannulated extrusion needle during vitreoretinal microsurgery . Retina . 1988;8:42-49.Crossref 16. Slusher MM. Evacuation of submacular hemorrhage: technique and timing . In: Vitreoretinal Surgery and Technology . Thorofare, NJ: Slack Inc; 1989;1:2, 3, 8. 17. Kreiger AE, Haidt SJ. Vitreous hemorrhage in senile macular degeneration . Retina . 1983;3:318-321.Crossref 18. Googe JM, Hirose T, Apple DJ, Melgen S. Vitreous hemorrhage secondary to age-related macular degeneration . Surv Ophthalmol . 1987;32:129-130. 19. Glatt H, Machemer R. Experimental subretinal hemorrhage in rabbits . Am J Ophthalmol . 1982;94:762-773.Crossref http://www.deepdyve.com/assets/images/DeepDyve-Logo-lg.png Archives of Ophthalmology American Medical Association

Subretinal Hemorrhage Management By Pars Plana Vitrectomy and Internal Drainage

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References (19)

Publisher
American Medical Association
Copyright
Copyright © 1990 American Medical Association. All Rights Reserved.
ISSN
0003-9950
eISSN
1538-3687
DOI
10.1001/archopht.1990.01070090075043
Publisher site
See Article on Publisher Site

Abstract

Abstract • We reviewed 14 consecutive cases of subretinal hemorrhage involving the macula, in which surgery to remove the hemorrhage was performed by the authors between February 1984 and January 1989. All patients underwent pars plana vitrectomy and internal subretinal hemorrhage drainage. The causes of subretinal hemorrhages in group 1 were primary rhegmatogenous retinal detachments (three eyes), complications from scleral buckling procedures (three eyes), traumatic retinal detachments (two eyes), and sickle cell retinopathy associated with anticoagulation therapy after a pulmonary embolus (one eye). Group 2 consisted of five eyes with massive subretinal hemorrhage associated with age-related macular degeneration. In group I, recurrent postoperative retinal detachment occurred in five eyes but reattachment was achieved in eight of the nine eyes, and final visual acuities were 20/400 or better in those eight eyes. In group 2, marked subretinal fibrosis occurred in two eyes. Although three eyes had improved visual acuities, final visual acuities were 5/200 or worse in all five eyes. References 1. Gillies A, Lahav M. Absorption of retinal and subretinal hemorrhages . Ann Ophthalmol . 1983;15:1068-1074. 2. Antoszyk AN, deJuan E Jr, Landers MB. Subretinal hemorrhage during fluorescein angiography . Am J Ophthalmol . 1987;103:111-112. 3. Orth DH, Flood TP. Management of breakthrough vitreous hemorrhage from presumed extramacular subretinal neovoascularization . Retina . 1982;2:89-93.Crossref 4. Lewis H, Sloan SH, Foos RY. Massive intraocular hemorrhage associated with anticoagulation and age-related macular degeneration . Graefe Arch Clin Exp Ophthalmol . 1988;226:59-64.Crossref 5. Bloome MA, Ruiz RS. Massive spontaneous subretinal hemorrhage . Am J Ophthalmol . 1978;86:630-637. 6. El Baba F, Jarrett WH II, Harbin TS Jr, et al. Massive hemorrhage complicating age-related macular degeneration . Ophthalmology . 1986;93:1581-1592.Crossref 7. Tani PM, Buettner H, Robertson DM. Massive vitreous hemorrhage and senile macular choroidal degeneration . Am J Ophthalmol . 1980;90:525-533. 8. Wood WJ, Smith TR. Senile disciform macular degeneration complicated by massive hemorrhagic retinal detachment and angle closure glaucoma . Retina . 1983;3:296-303.Crossref 9. Kozlowski IMD, Hirose T, Jalkh AE. Massive subretinal hemorrhage with acute angle-closure glaucoma in chronic myelocytic leukemia . Am J Ophthalmol . 1987;103:837-838. 10. Bennett SR, Blodi CF, Folk JC. Factors prognostic of visual outcome in patients with subretinal hemorrhage involving the fovea . Am J Ophthalmol . 1990;109:33-37. 11. Treister G, Machemer R. Results of vitrectomy for rare proliferative and hemorrhagic diseases . Am J Ophthalmol . 1977;84:394-412. 12. DeJuan E Jr, Machemer R. Vitreous surgery for hemorrhagic and fibrous complications of age-related macular degeneration . Am J Ophthalmol . 1988;105:25-29. 13. Hanscom TA, Diddie KR. Early surgical drainage of macular subretinal hemorrhage . Arch Ophthalmol . 1987;105:1722-1723.Crossref 14. Dellaporta A. Retinal damage from subretinal hemorrhage . Am J Ophthalmol . 1983;95:568-570. 15. Flynn HW Jr, Davis JL, Parel JM, Lee WG. Applications of a cannulated extrusion needle during vitreoretinal microsurgery . Retina . 1988;8:42-49.Crossref 16. Slusher MM. Evacuation of submacular hemorrhage: technique and timing . In: Vitreoretinal Surgery and Technology . Thorofare, NJ: Slack Inc; 1989;1:2, 3, 8. 17. Kreiger AE, Haidt SJ. Vitreous hemorrhage in senile macular degeneration . Retina . 1983;3:318-321.Crossref 18. Googe JM, Hirose T, Apple DJ, Melgen S. Vitreous hemorrhage secondary to age-related macular degeneration . Surv Ophthalmol . 1987;32:129-130. 19. Glatt H, Machemer R. Experimental subretinal hemorrhage in rabbits . Am J Ophthalmol . 1982;94:762-773.Crossref

Journal

Archives of OphthalmologyAmerican Medical Association

Published: Jul 1, 1990

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