Abstract
Submacular hemorrhage may cause secondary retinal degeneration. Evacuation of a traumatic submacular hemorrhage in a young man (Case II) was carried out successfully using transbulbar endodiathermy. Final visual acuity was 20/20. A 74-year-old man (Case IV) suffered a big subretinal hemorrhage in his remaining good eye. That same day strong Argon laser coagulations were applied to the retina over the dark, brown hemorrhage with perforation of the retina and visible escape of blood into the vitreous. Four weeks after the treatment the subretinal hemorrhage showed patchy absorption and the visual acuity was 20/60. The visual acuity remained 20/60 and J3, 27 months after the treatment, and useful vision continued for another 15 months.
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Abrams GW. Discussion to papers No [3, 13] Ophthalmology 1992; 99: 975–6.
Bennet SR, Blodi FC, Folk JC. Factors prognostic of visual outcome in patients with subretinal hemorrhage involving the fovea. Am J Ophthalmol 1990; 109: 33–7.
Berger AS, Kaplan HJ. Clinical experience with the surgical removal of subfovealneovascular membranes. Ophthalmology 1992; 99: 969–76.
de Boustros S, Thompson JT, Michels RG et al. Nuclear sclerosis after vitrectomy for idiopathic epiretinal membranes. Am J Ophthalmol 1988; 105: 160.
DeJuan Jr E, Machemer R. Vitreous surgery for hemorrhagic and fibrous complications of age related macular degeneration. Am J Ophthalmol 1988; 105: 25–9.
Dellaporta A. Endodiathermy. A method for sealing macular holes by transbulbar coagulation. Am J Ophthalmol 1954; 37: 649–56.
Dellaporta A. Scleral trephination for subchoroidal Effusion. Arch Ophthalmol 1983; 101: 1917–9.
Hanscom TA, Diddie KR. Early surgical drainage of macular subretinal hemorrhage. Arch Ophthalmol 1987; 105: 1722–3.
Lambert HM, Capone A, Aaberg TM et al. Surgical excision of subfoveal neovascular membranes in age related macular degeneration. Am J Ophthalmol 1992; 113: 257–62.
Russel SR, Crapotta JA, Zerbalio Jr DJ. Surgical removal of subfoveal neovascularization. Ophthalmology 1993; 100: 795–6.
Slusher MM. Evacuation of submacular hemorrhage; technique and timing. In: Vitreoretinal Surgery and Technology. Thorofare, NJ: Slack Inc 1989; 1: 2, 3, 8.
Thomas MA. Reply to Russel RR et al. Reference No [10] Ophthalmology 1993; 100: 796.
Thomas MA, Kaplan HJ. Surgical removal of subfoveal neovascularization in the presumed ocular histoplasmosis syndrom. Am J Ophthalmol 1991; 111: 1–7.
Thomas MA, Grand MG, Williams DF, Lee MC, Perin SR, Löwe M. Surgical management of subfoveal choroidal neovascularization. Ophthalmology 1992; 99: 952–68.
Treister G, Machemer R. Results of vitrectomy for rare proliferative and hemorrhagic diseases. Am J Ophthalmol 1977; 84: 394–412.
Vander JF, Federman JL, Greven C, Slusher MM, Gabel V-P. Surgical removal of massive subretinal hemorrhage associated with age related macular degeneration. Ophthalmology 1991; 98: 23–7.
Wade EC, Flynn Jr HW, Olsen KR, Blumenkranz MS, Nicholson DS. Subretinal hemorrhage management by pars plana vitrectomy and internal drainage. Arch Ophthalmol 1990; 108: 973–8.
Wolter R, Benz C, Roth FD. Early disciform degeneration of the macula. Am J Ophthalmol 1965; 59: 870–87.
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Supported in part by an unrestricted grant from Research to Prevent Blindness Inc.
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Dellaporta, A.N. Evacuation of subretinal hemorrhage. Int Ophthalmol 18, 25–31 (1994). https://doi.org/10.1007/BF00919410
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DOI: https://doi.org/10.1007/BF00919410