Indian Journal of Ophthalmology

CASE REPORT
Year
: 2020  |  Volume : 68  |  Issue : 7  |  Page : 1468--1470

Intraoperative optical coherence tomography-guided subretinal cocktail injection in a case of ruptured retinal artery macro-aneurysm with multilevel bleed


Atul Kumar, M Dheepak Sundar, Rohan Chawla, Divya Agarwal, Nasiq Hasan 
 Dr. Rajendra Prasad Centre for Ophthalmic Sciences, All India Institute of Medical Sciences, New Delhi, India

Correspondence Address:
Dr. M Dheepak Sundar
House No 6, (Dinesh Saini) 1st Floor, Gautam Nagar, Delhi - 110 049
India

Submacular hemorrhage (SMH) following ruptured retinal artery macro aneurysm (RRAM) has better prognosis as compared to other etiologies. Timely intervention from as early as 24 h to less than 7 days is known to provide better visual outcomes in such cases. A variety of surgical techniques have been described in the treatment of RRAM. In this case report, we describe the advantages of intraoperative optical coherence tomography-guided sub-retinal injection of a cocktail mixture consisting of recombinant tissue plasminogen activator, bevacizumab, and air. Faster visual recovery with an immediate displacement of sub-macular bleed can be achieved with this technique in cases of RRAM-associated SMH.


How to cite this article:
Kumar A, Sundar M D, Chawla R, Agarwal D, Hasan N. Intraoperative optical coherence tomography-guided subretinal cocktail injection in a case of ruptured retinal artery macro-aneurysm with multilevel bleed.Indian J Ophthalmol 2020;68:1468-1470


How to cite this URL:
Kumar A, Sundar M D, Chawla R, Agarwal D, Hasan N. Intraoperative optical coherence tomography-guided subretinal cocktail injection in a case of ruptured retinal artery macro-aneurysm with multilevel bleed. Indian J Ophthalmol [serial online] 2020 [cited 2024 Mar 29 ];68:1468-1470
Available from: https://journals.lww.com/ijo/pages/default.aspx/article.asp?issn=0301-4738;year=2020;volume=68;issue=7;spage=1468;epage=1470;aulast=Kumar;type=0