|
مقاله
|
Abstract
|
|
|
|
Title:
|
Traumatic Sub-Macular Hemorrhage Removal by Sweeping in Vitrectomy: A New Surgical Technique
|
|
Author(s):
|
Mohammad Khalife MD; Mojtaba Abrishami MD
|
|
Presentation Type:
|
Poster
|
|
Subject:
|
Posterior Segment
|
|
Others:
|
|
|
Presenting Author:
|
|
|
Name:
|
Mojtaba Abrishami
|
|
Affiliation :(optional)
|
Eye Research Center, Mashhad University of Medical Sciences, Mashhad, Iran
|
|
E mail:
|
mojtaba_abrishami@yahoo.com
|
|
Phone:
|
05138433192
|
|
Mobile:
|
09129377278
|
|
|
|
|
Purpose:
|
To describe a new technique in removing sub-macular hemorrhages (SMH) in traumatic patients and results in three patients.
|
|
Methods:
|
In this technique, for patients with SMH, a complete three port vitrectomy was performed. Using a back flush instrument and soft tip needle, considering safe distance from silicon tip to retina, SMH is swept using gentle flushes to a temporal site of the macula in which it removed via a retinotomy. In a case with macular hole, the hemorrhage is drained via the hole.
|
|
Results:
|
In case one, SMH was swept to the temporal of the macula and removed via a retinotomy. Best corrected visual acuity was improved from hand motion to 20/ 30. In the second patient, four weeks after trauma, SMH was removed and after three weeks the BCVA was improved to 20/25 after three weeks. In the third case that had macular hole, the SMH was drained via the MH and BCVA was improved from hand motion to 20/100.
|
|
Conclusion:
|
Sub-Macular hemorrhage sweeping using back flush after a complete vitrectomy seems to be efficacious in restoring macular anatomical and visual function.
|
|
Attachment:
|
136.pptx
|
|
|