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       XXIX Annual Congress of the Iranian Society of Ophthalmology        بـیــست و نهمین کنــگــره سـالیـانه انـجـمـن چـشـم پـزشـکی ایـــران
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





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