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Early treatment of subretinal haemorrhage in the course of exudative AMD using SF6 gas infusion and injection of intravitreal anti-VEGF — case report
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Abstract
Submacular haemorrhages, which are mostly caused by exudative age-related macular degeneration, lead to a significant deterioration of visual acuity and have a poor prognosis. Therefore, quick implementation of treatment is essential. The aim was to report a case of 68-year-old patient suffering from extensive haemorrhage covering the macula treated with pure sulphur hexafluoride (SF6) gas infusion and two anti-vascular endothelial growth factor (anti-VEGF) intravitreal injections. A patient was referred to the clinic due to a sudden deterioration of vision and the appearance of a black spot in central vision in the right eye. The patient underwent the infusion of 0.5 ml of pure SF6 followed by maintenance of face-down position postoperatively resulting in partial displacement of submacular haemorrhage. One month after the surgery the patient was referred to two intravitreal injections of anti-VEGF in monthly intervals. The effectiveness of the treatment is confirmed by OCT examination and visual acuity results (from CF 1’ before treatment to 5/12 after the treatment). A combination of SF6 gas infusion and anti-VEGF intravitreal injections turned out to be an effective and safe method of submacular haemorrhage treatment. Early diagnosis and treatment implementation resulted in significant improvement of visual acuity.
Abstract
Submacular haemorrhages, which are mostly caused by exudative age-related macular degeneration, lead to a significant deterioration of visual acuity and have a poor prognosis. Therefore, quick implementation of treatment is essential. The aim was to report a case of 68-year-old patient suffering from extensive haemorrhage covering the macula treated with pure sulphur hexafluoride (SF6) gas infusion and two anti-vascular endothelial growth factor (anti-VEGF) intravitreal injections. A patient was referred to the clinic due to a sudden deterioration of vision and the appearance of a black spot in central vision in the right eye. The patient underwent the infusion of 0.5 ml of pure SF6 followed by maintenance of face-down position postoperatively resulting in partial displacement of submacular haemorrhage. One month after the surgery the patient was referred to two intravitreal injections of anti-VEGF in monthly intervals. The effectiveness of the treatment is confirmed by OCT examination and visual acuity results (from CF 1’ before treatment to 5/12 after the treatment). A combination of SF6 gas infusion and anti-VEGF intravitreal injections turned out to be an effective and safe method of submacular haemorrhage treatment. Early diagnosis and treatment implementation resulted in significant improvement of visual acuity.
Keywords
age-related macular degeneration, anti-VEGF, haemorrhage, macula, SF6 gas
About this articleTitle
Early treatment of subretinal haemorrhage in the course of exudative AMD using SF6 gas infusion and injection of intravitreal anti-VEGF — case report
Journal
Issue
Article type
Case report
Pages
99-102
Published online
2016-11-04
Page views
560
Article views/downloads
1206
DOI
Bibliographic record
Ophthalmol J 2016;1(3):99-102.
Keywords
age-related macular degeneration
anti-VEGF
haemorrhage
macula
SF6 gas
Authors
Anna Heinke Knudsen
Katarzyna Michalska-Małecka
Rafał Leszczyński