Open AccessSubretinal tissue plasminogen-assisted vitrectomy for posttraumatic full-thickness macular hole with submacular hemorrhage
Author(s) -
Pradeep Kumar,
Vinod Kumar,
Raghav Ravani,
Sahil Agarwal
Publication year - 2018
Publication title -
indian journal of ophthalmology (bombay)
Language(s) - English
Resource type - Journals
SCImago Journal Rank - 0.542
H-Index - 51
eISSN - 1998-3689
pISSN - 0301-4738
DOI - 10.4103/ijo.ijo_815_17
Subject(s) - medicine , vitrectomy , macular hole , tamponade , ophthalmology , internal limiting membrane , tissue plasminogen activator , visual acuity , surgery
A young male presented with diminution of vision left eye, attributable to full-thickness macular hole, and submacular hemorrhage, following closed globe injury 2 weeks ago. The patient was managed successfully with 25-gauge vitrectomy, subretinal injection of tissue plasminogen activator and aspiration of liquefied blood through the macular hole, internal limiting membrane peeling, short-acting gas tamponade, and prone positioning. This resulted in good visual improvement, type 1 macular hole closure, and restoration of foveal architecture. The outcome and rationale of treatment in this unique scenario is discussed.