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BRIEF COMMUNICATION
Year : 2009  |  Volume : 57  |  Issue : 2  |  Page : 155-157

Pneumatic displacement and intravitreal bevacizumab: A new approach for management of submacular hemorrhage in choroidal neovascular membrane


1 Vitreo-Retinal Services, Lucknow, India
2 Pediatric Ophthalmologist, Prakash Netra Kendra, Lucknow, India

Correspondence Address:
Shobhit Chawla
Prakash Netra Kendra, NH-2, Vipul Khand-4, Gomtinagar, Lucknow-226 010, Uttar Pradesh
India
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Source of Support: None, Conflict of Interest: None


DOI: 10.4103/0301-4738.45511

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Choroidal neovascular membrane (CNVM) is one of the most common causes of submacular hemorrhage (SMH). Conventional treatment involves management of the SMH with pneumatic displacement with or without tissue plasminogen activator (TPA) followed by intravitreal injection of bevacizumab in a second sitting. We decided to assess the efficacy of treating SMH secondary to CNVM with pneumatic displacement using sulphur hexafluoride (SF6) gas and intravitreal bevacizumab. Four patients with SMH secondary to CNVM were included in this study. Intravitreal bevacizumab, 0.05 ml, along with 0.5 ml of SF6 was injected through the pars plana into the vitreous cavity. Postoperative best corrected visual acuity improved in all eyes with complete or partial displacement of SMH out of the foveal area.


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