BULLOUS HEMORRHAGIC RETINAL DETACHMENT BECAUSE OF MASSIVE SUBRETINAL HEMORRHAGE IN PATIENTS WITH AGE-RELATED MACULAR DEGENERATION
- Authors
- Choi, Youn Joo; Hyun, Joo; Choi, Kyung Seek; Rhee, Mi Ri; Lee, Sung Jin
- Issue Date
- Jul-2013
- Publisher
- Lippincott Williams & Wilkins Ltd.
- Keywords
- age-related macular degeneration (AMD); hemorrhagic retinal detachment; subretinal hemorrhage (SRH); retinotomy
- Citation
- Retina, v.33, no.7, pp 1365 - 1374
- Pages
- 10
- Journal Title
- Retina
- Volume
- 33
- Number
- 7
- Start Page
- 1365
- End Page
- 1374
- URI
- https://scholarworks.bwise.kr/sch/handle/2021.sw.sch/13547
- DOI
- 10.1097/IAE.0b013e31827b640c
- ISSN
- 0275-004X
1539-2864
- Abstract
- Purpose: The authors investigated the surgical outcomes of massive subretinal hemorrhage draining via a retinotomy procedure in bullous hemorrhagic retinal detachment (HRD). Methods: Clinical records of consecutive patients with age-related macular degeneration who underwent surgery for bullous HRD were reviewed. Outcomes included anatomical success, visual acuity, and postoperative complications. Results: Seventeen consecutive eyes of 17 patients were included in this series. Of the 17 eyes, 8 eyes had total HRD and 9 eyes had half total inferior HRD including the macula. The mean interval between initial symptom presentation and operation was 22.6 +/- 11.7 days. All patients underwent pars plana vitrectomy and internal drainage of the subretinal hemorrhage through a posterior drainage retinotomy. The mean follow-up period was 37.1 months (range, 12-66 months). Finally, successful retinal reattachment was achieved in 15 of the 17 eyes (88.2%), but 2 remained nonprogressive localized inferior retinal detachment because of proliferative vitreoretinopathy. All preoperative visual acuities were hand movements or worse, and 10 eyes (58.8%) achieved a postoperative minimum functional vision of 20/1000 or better. Conclusion: Successful retinal reattachment and achievement of minimum functional vision is possible after PPV and retinotomy with evacuation of a massive subretinal hemorrhage for bullous HRD secondary to age-related macular degeneration.
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Collections - College of Medicine > Department of Ophthalmology > 1. Journal Articles
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