Adverse effect of macular intraretinal hemorrhage on the prognosis of submacular hemorrhage due to retinal arterial macroaneurysm rupture

This study included 23 eyes of 23 consecutive patients diagnosed with submacular hemorrhage associated with ruptured retinal arterial macroaneurysm. Cases underwent displacement of submacular hemorrhage (vitrectomy + subretinal injection of tissue plasminogen activator + air tamponade) and were followed up for 6 months after surgery. Localization of the preoperative hemorrhage and its effect on preoperative and postoperative best-corrected visual acuity, central retinal thickness, and continuity of the ellipsoid zone were measured.
Results:
Macular intraretinal hemorrhage (IRH) was observed in 17 eyes (73.9%, IRH [+] group) and was not observed in 6 eyes (26.1%, IRH [−] group). The IRH (+) group showed worse postoperative best-corrected visual acuity values compared with the IRH (−) group (0.89 ± 0.47 in logarithm of the minimal angle of resolution units, Snellen equivalent 20/155 and 0.16 ± 0.23, 20/29, respectively; P

Source: RETINA - April 21, 2020 Category: Opthalmology Tags: Original Study Source Type: research