J Korean Ophthalmol Soc.  2003 Aug;44(8):1954-1958.

Two Cases of Aggravation of Submacular Hemorrhage after Intravitreal Gas Injection

• Yoon JY
• Park IW

Abstract

PURPOSE
To report two cases of submacular hemorrhage worsened after intravitreal gas (sulfuric hexafluoride; SF6) injection without tissue plasminogen activator. METHODS: Two old men complaining of decreased visual acuity in their one eye visited clinic. On ocular examination, both of them had subretinal hemorrhage in macular area choroidal neovascularization on fluorescein angiography. 0.5cc sulfuric hexafluoride (SF6) gas was injected into vitreous cavity and patients were educated to keep strict prone position. Several days after intravitreal injection, visual acuity decreased and subretinal hemorrhage increased and spread to adjacent area. RESULTS: In cases of the intravitreal injection, aggravation of subretinal hemorrhage should be considered, even without tPA and if so, it is necessary to monitor and informed the patients in detail.

Keyword

Choroidal neovascularization; Intravitreal injection; SF6; Submacular hemorrhage; Tissue plasminogen activator

MeSH Terms

Choroidal Neovascularization
Fluorescein Angiography
Hemorrhage*
Humans
Intravitreal Injections
Male
Prone Position
Sulfur
Tissue Plasminogen Activator
Visual Acuity
Sulfur
Tissue Plasminogen Activator