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Intravitreal injection of recombinant tissue plasminogen activator and pneumatic displacement of submacular

M Fadhilah1, Z Mimiwati, K C S Fong

  • 1Department of Ophthalmology, Faculty of Medicine, University of Malaya, 50603 Kuala Lumpur. drnfm@yahoo.com

The Medical Journal of Malaysia
|September 10, 2011
PubMed

We report a case of a patient with hypertension and ischaemic heart disease on anti-platelet treatment, who developed uniocular profound visual loss from a submacular haemorrhage secondary to valsalva retinopathy. He was treated with a combination of intravitreal recombinant tissue plasminogen activator (rtPA) and sulphur hexafluoride (SF6) gas followed by strict prone positioning. He demonstrated significant displacement of the haemorrhage and improvement of vision postoperatively.

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