Two Cases of Aggravation of Submacular Hemorrhage after Intravitreal Gas Injection.

Yoon, Jae Yoon; Park, In Won

Case Report

Journal of the Korean Ophthalmological Society 2003;44(8):1954-1958.
Published online August 1, 2003.

Two Cases of Aggravation of Submacular Hemorrhage after Intravitreal Gas Injection.

Department of Ophthalmology, Sacred Heart Hospital, Hallym University College of Medicine, Anyang, Kyeonggi-do, Korea. piw@korea.com

황반부 망막하 출혈 치료시 유리체강내 가스 주입에 의한 합병증 2예

윤재윤 ( Yun Jae Yun ) , 박인원 ( Park In Won )

Abstract

PURPOSE
To report two cases of submacular hemorrhage worsened after intravitreal gas (sulfuric hexafluoride; SF6) injection without tissue plasminogen activator. METHODS: Two old men complaining of decreased visual acuity in their one eye visited clinic. On ocular examination, both of them had subretinal hemorrhage in macular area choroidal neovascularization on fluorescein angiography. 0.5cc sulfuric hexafluoride (SF6) gas was injected into vitreous cavity and patients were educated to keep strict prone position. Several days after intravitreal injection, visual acuity decreased and subretinal hemorrhage increased and spread to adjacent area. RESULTS: In cases of the intravitreal injection, aggravation of subretinal hemorrhage should be considered, even without tPA and if so, it is necessary to monitor and informed the patients in detail.

Key Words: Choroidal neovascularization;Intravitreal injection;SF6;Submacular hemorrhage;Tissue plasminogen activator