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Titolo:
Planned two-step vitrectomy for extremely large and thick subretinal hematoma
Autore:
Matsuo, T; Shiraga, F; Takasu, I;
Indirizzi:
Okayama Univ, Sch Med, Dept Ophthalmol, Okayama 7008558, Japan Okayama Univ Okayama Japan 7008558 pt Ophthalmol, Okayama 7008558, Japan
Titolo Testata:
ACTA OPHTHALMOLOGICA SCANDINAVICA
fascicolo: 5, volume: 79, anno: 2001,
pagine: 533 - 537
SICI:
1395-3907(200110)79:5<533:PTVFEL>2.0.ZU;2-G
Fonte:
ISI
Lingua:
ENG
Soggetto:
TISSUE-PLASMINOGEN ACTIVATOR; SUBMACULAR HEMORRHAGE; MACULAR DEGENERATION; SURGICAL DRAINAGE; MANAGEMENT; REMOVAL;
Keywords:
subretinal hematoma; vitrectomy, two-step; age-related macular degeneration; polypoidal choroidal vasculopathy;
Tipo documento:
Article
Natura:
Periodico
Settore Disciplinare:
Clinical Medicine
Citazioni:
15
Recensione:
Indirizzi per estratti:
Indirizzo: Matsuo, T Okayama Univ, Sch Med, Dept Ophthalmol, 2-5-1 Shikata Cho, Okayama 7008558, Japan Okayama Univ 2-5-1 Shikata Cho Okayama Japan 7008558 558, Japan
Citazione:
T. Matsuo et al., "Planned two-step vitrectomy for extremely large and thick subretinal hematoma", ACT OPHTH S, 79(5), 2001, pp. 533-537

Abstract

Purpose: To describe a new surgical strategy, planned two-step vitrectomy,for a large and thick subretinal hematoma involving 3 or more quadrants ofthe fundus. Surgical Methods: In a first-step vitrectomy, a retinotomy was made in theposterior pole, after any vitreous hemorrhage had been removed. Following fluid-gas exchange with no laser photocoagulation around the retinotomy, patients took a face-down position for a few days to a week to facilitate subretinal hemorrhage movement to the vitreous cavity and anterior chamber. Ina second-step surgery, the hemorrhage in the vitreous cavity and anterior chamber was washed out. The remaining subretinal hemorrhage was aspirated, and the retina was reattached with fluid-gas exchange and laser photocoagulation around the retinotomy. Results: The planned two-step vitrectomy was performed in 4 consecutive patients with large and thick subretinal hematomas involving 3 or more quadrants seen during a 3-year period. By a face-down position after the first-step vitrectomy, subretinal hemorrhage moved to the vitreous cavity and anterior chamber. The remaining subretinal hemorrhage in a smaller quantity could be easily removed, leading to retinal reattachment in the second-step surgery. Conclusions: The planned two-step vitrectomy is a safer and more effectiveprocedure for removing a large quantity of subretinal hemorrhage in a shorter period of surgical time, compared with hemorrhage removal in a single vitrectomy.

ASDD Area Sistemi Dipartimentali e Documentali, Università di Bologna, Catalogo delle riviste ed altri periodici
Documento generato il 23/01/20 alle ore 19:17:57