Different approaches in the management of macular hemorrhage: Case reports and a literature review
Introduction Macular hemorrhages result in a sudden and profound loss of vision. The primary treatment modalities include observation, intravitreal injection of antiangiogenic drugs, neodymium-doped yttrium aluminum garnet hialoidotomy, intravitreal injection of gas with or without tissue plasminog...
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doaj-1bc177fc8aed451d92b111eb3cfca04e2020-11-25T03:31:59ZengMedwave Estudios LimitadaMedwave0717-63840717-63842020-03-012002e7831e783110.5867/medwave.2020.02.7831Different approaches in the management of macular hemorrhage: Case reports and a literature reviewJaime Leonel Quiroz-Mendoza0Diego Alejandro Valera-Cornejo1Marlon García-Roa2Paulina Ramírez-Neria3Yolanda Villalpando-Gómez4Verónica Romero-Morales5Renata García-Franco6Instituto Mexicano de Oftalmología I.A.P, Querétaro, México; Universidad Nacional Autónoma de México, CDMX, MéxicoInstituto Mexicano de Oftalmología I.A.P, Querétaro, México; Universidad Nacional Autónoma de México, CDMX, MéxicoInstituto Mexicano de Oftalmología I.A.P, Querétaro, México; Universidad Nacional Autónoma de México, CDMX, MéxicoInstituto Mexicano de Oftalmología I.A.P, Querétaro, México; Universidad Nacional Autónoma de México, CDMX, MéxicoInstituto Mexicano de Oftalmología I.A.P, Querétaro, México; Universidad Nacional Autónoma de México, CDMX, MéxicoInstituto Mexicano de Oftalmología I.A.P, Querétaro, México; Universidad Nacional Autónoma de México, CDMX, MéxicoInstituto Mexicano de Oftalmología I.A.P, Querétaro, México; Universidad Nacional Autónoma de México, CDMX, MéxicoIntroduction Macular hemorrhages result in a sudden and profound loss of vision. The primary treatment modalities include observation, intravitreal injection of antiangiogenic drugs, neodymium-doped yttrium aluminum garnet hialoidotomy, intravitreal injection of gas with or without tissue plasminogen activator, as monotherapy or combined with surgery. In this paper, we report four cases of macular hemorrhages of different causes treated with different approaches, and we review the literature in this regard. Case presentation All four patients presented different causes of macular hemorrhage. The first case had a preretinal hemorrhage due to a Valsalva retinopathy and was treated with surgery. Case 2 had a multilevel macular hemorrhage due to a rupture of a retinal arteriolar macroaneurysm and was treated with pneumatic displacement, laser, and intravitreal ranibizumab. Case 3 presented an extensive subretinal hemorrhage due to a choroidal rupture after high-energy ocular trauma that was also successfully treated with surgery. The last case was a preretinal hemorrhage due to diabetic retinopathy managed with neodymium-doped yttrium aluminum garnet laser. Different treatment approaches were successfully performed in all cases with good outcomes. Conclusion There is an extensive range of options available for the management of macular hemorrhages, and the best option depends on the characteristics of each particular case. Proper and timely management of these diseases can achieve an excellent visual outcome, especially if the location of the hemorrhage is preretinal.https://www.medwave.cl/link.cgi/Medwave/Estudios/Casos/7831retinal hemorrhageeye hemorrhageranibizumablaserssolid-statevitrectomy |
collection |
DOAJ |
language |
English |
format |
Article |
sources |
DOAJ |
author |
Jaime Leonel Quiroz-Mendoza Diego Alejandro Valera-Cornejo Marlon García-Roa Paulina Ramírez-Neria Yolanda Villalpando-Gómez Verónica Romero-Morales Renata García-Franco |
spellingShingle |
Jaime Leonel Quiroz-Mendoza Diego Alejandro Valera-Cornejo Marlon García-Roa Paulina Ramírez-Neria Yolanda Villalpando-Gómez Verónica Romero-Morales Renata García-Franco Different approaches in the management of macular hemorrhage: Case reports and a literature review Medwave retinal hemorrhage eye hemorrhage ranibizumab lasers solid-state vitrectomy |
author_facet |
Jaime Leonel Quiroz-Mendoza Diego Alejandro Valera-Cornejo Marlon García-Roa Paulina Ramírez-Neria Yolanda Villalpando-Gómez Verónica Romero-Morales Renata García-Franco |
author_sort |
Jaime Leonel Quiroz-Mendoza |
title |
Different approaches in the management of macular hemorrhage: Case reports and a literature review |
title_short |
Different approaches in the management of macular hemorrhage: Case reports and a literature review |
title_full |
Different approaches in the management of macular hemorrhage: Case reports and a literature review |
title_fullStr |
Different approaches in the management of macular hemorrhage: Case reports and a literature review |
title_full_unstemmed |
Different approaches in the management of macular hemorrhage: Case reports and a literature review |
title_sort |
different approaches in the management of macular hemorrhage: case reports and a literature review |
publisher |
Medwave Estudios Limitada |
series |
Medwave |
issn |
0717-6384 0717-6384 |
publishDate |
2020-03-01 |
description |
Introduction
Macular hemorrhages result in a sudden and profound loss of vision. The primary treatment modalities include observation, intravitreal injection of antiangiogenic drugs, neodymium-doped yttrium aluminum garnet hialoidotomy, intravitreal injection of gas with or without tissue plasminogen activator, as monotherapy or combined with surgery. In this paper, we report four cases of macular hemorrhages of different causes treated with different approaches, and we review the literature in this regard.
Case presentation
All four patients presented different causes of macular hemorrhage. The first case had a preretinal hemorrhage due to a Valsalva retinopathy and was treated with surgery. Case 2 had a multilevel macular hemorrhage due to a rupture of a retinal arteriolar macroaneurysm and was treated with pneumatic displacement, laser, and intravitreal ranibizumab. Case 3 presented an extensive subretinal hemorrhage due to a choroidal rupture after high-energy ocular trauma that was also successfully treated with surgery. The last case was a preretinal hemorrhage due to diabetic retinopathy managed with neodymium-doped yttrium aluminum garnet laser. Different treatment approaches were successfully performed in all cases with good outcomes.
Conclusion
There is an extensive range of options available for the management of macular hemorrhages, and the best option depends on the characteristics of each particular case. Proper and timely management of these diseases can achieve an excellent visual outcome, especially if the location of the hemorrhage is preretinal. |
topic |
retinal hemorrhage eye hemorrhage ranibizumab lasers solid-state vitrectomy |
url |
https://www.medwave.cl/link.cgi/Medwave/Estudios/Casos/7831 |
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