Dr. Rajendra Prasad Centre for Ophthalmic Sciences, All India Institute of Medical Sciences, New Delhi, India.
Indian J Ophthalmol. 2020 Jul;68(7):1468-1470. doi: 10.4103/ijo.IJO_1803_19.
Submacular hemorrhage (SMH) following ruptured retinal artery macro aneurysm (RRAM) has better prognosis as compared to other etiologies. Timely intervention from as early as 24 h to less than 7 days is known to provide better visual outcomes in such cases. A variety of surgical techniques have been described in the treatment of RRAM. In this case report, we describe the advantages of intraoperative optical coherence tomography-guided sub-retinal injection of a cocktail mixture consisting of recombinant tissue plasminogen activator, bevacizumab, and air. Faster visual recovery with an immediate displacement of sub-macular bleed can be achieved with this technique in cases of RRAM-associated SMH.
相较于其他病因，视网膜动脉大动脉瘤破裂引起的黄斑下出血（SMH）预后更好。对于此类病例，在 24 小时内至 7 天内进行及时干预，已知可获得更好的视力结果。目前已有多种手术技术被用于治疗视网膜动脉大动脉瘤。在本病例报告中，我们描述了术中光学相干断层扫描引导下向视网膜下注射组织型纤溶酶原激活物、贝伐单抗和空气的鸡尾酒混合物的优势。对于与视网膜动脉大动脉瘤相关的 SMH 病例，该技术可实现更快的视力恢复，并可立即移位黄斑下出血。
