Postoperative Multimodal Analysis in Successful Gas Displacement of a Submacular Hemorrhage

Postoperative Multimodal Analysis in Successful Gas Displacement of a Submacular Hemorrhage

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In this report, we describe a case of timely gas vitrectomy to displace a moderate submacular hemorrhage from the submacular space without tPA, release vitreoretinal traction along the borders of a posterior retinal tear, and analyze postoperative multimodal imaging findings in a 34-year-old male patient Cooktop whose right eye was injured by a stone.The patient underwent a successful nontissue plasminogen activator gas vitrectomy 3 days after the accident.A multimodal evaluation with spectral-domain optical coherence tomography (SD-OCT), 10-2 and 30-2 campimetry, microperimetry, multifocal electroretinography (mfERG), and visual evoked potentials was performed 6 months after the accident.

The multimodal imaging tests yielded abnormal foveal SD-OCT patterns, with a fibrous sealed tear in the retinal pigment Me 4th of July Top epithelium.Campimetry showed low levels of retinal sensitivity; microperimetry and mfERG revealed a subnormal retinal response and a reduction in the N1 and P1 wave amplitudes.The visual evoked potential responses were normal.

Multidisciplinary examination at 6 months postoperatively revealed a structurally and functionally abnormal macula.The retina remained attached.Our functional findings indicate that submacular hemorrhage should be treated in a timely manner to minimize photoreceptor damage.