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Cet abstract a été assigné à session BOG-SBO: Chirurgisch netvlies / Retine chirurgicale
TitreTPA + SF 6 gas intravitreal injection for macular hemorrhage in AMD patients
Abstract Nr.182
Butto assess the efficiency and safety of TPA + SF 6 gas intravitreal injection for macular hemorrhage in AMD patients as a procedure to quickly restore some visual acuity and to help making an accurate diagnosis and taking a therapeutical decision .
Méthodesretrospective study of 39 eyes of 39 patients .(2003-2004)
mean age 76 years
21 women-18 men
sub group unilateral (18 eyes) / bilateral AMD (21 eyes)
injected in operation room under topical anesthesia
TPA concentration of 50µg/0.1ml,
intavitreal injection : 50µg TPA + 0.3 to 0.5 CC SF6 gas after paracentesis
prone position of patients 2 days after injection

Résultatsat day 1 : -90% of patients had migration of macular hemorrhage
- mean visual acuity improved by 2 snellen lines
at day 10 : 82 % of patients could undergo further investigation (FA,ICG,OCT)
long term :- no complication
- 46 % of unilateral AMD patients : mean visual acuity >0.2 snellen(observation and treatment PDT,laser)
- 48% of bilateral AMD patients : mean visual acuity > 0.2 snellen (observation and post 360° retinal translocation)

ConclusionTPA + SF6 gas intravitreal injection seems to be a safe and efficient procedure for macular hemorrhage in AMD patients , helping to make a quick diagnosis and find a therapeutical option as soon as possible .
It helps restoring some visual acuity in patients with sudden blindness due to the hemorrhage .
Auteur 1
NomNERINCKX
InitialesF
Institutvitreoretinal department AZ Sint-Augustinus
VilleAntwerp
Auteur 2
NomCLAES
InitialesC
Institutvitreoretinal department AZ Sint-Augustinus
VilleAntwerp
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