Abstract

Complications of closed-globe injury such as submacular hemorrhage (SMH) and traumatic macular hole (TMH) can be visually devastating. It is observed that TMH occurs in 1.4% of closed-globe injuries and 0.15% of open-globe injuries. There is limited data regarding the incidence of TMH with SMH, given its relatively rare occurrence. Treatment options for SMH include vitrectomy with subretinal r-tissue plasminogen activator (TPA)-assisted clot lysis, intravitreal r-TPA-assisted pneumatic displacement using an expansile gas and postoperative positioning, and finally pneumatic displacement alone. We report a unique case of a 26-year-old female with blunt trauma who developed SMH with TMH and breakthrough vitreous hemorrhage. Successful displacement of subretinal blood from the macula and resolution of the macular hole was achieved on day 1 with pneumatic displacement alone using undiluted C3F8 injection.

Keywords

Publication details

DOI
10.4103/ojo.ojo_267_2019
Journal
Oman Journal of Ophthalmology, 13(3), 158-160
Publisher
Medknow Publications
Open access
Gold open access

Cite this article

APA 7

Mishra, M., Ramanjulu, R., Shanmugam, M., Mishra, D., & Sridharan, P. (2020). Pneumatic displacement for management of traumatic macular hole with submacular hemorrhage. Oman Journal of Ophthalmology, 13(3), 158-160. https://doi.org/10.4103/ojo.ojo_267_2019

MLA 9

Mishra, Maithili, et al. "Pneumatic displacement for management of traumatic macular hole with submacular hemorrhage." Oman Journal of Ophthalmology, vol. 13, no. 3, 2020, pp. 158-160. https://doi.org/10.4103/ojo.ojo_267_2019.

Chicago (author–date)

Mishra, Maithili, Rajesh Ramanjulu, Mahesh Shanmugam, Divyansh Mishra, and Preethi Sridharan. 2020. "Pneumatic displacement for management of traumatic macular hole with submacular hemorrhage." Oman Journal of Ophthalmology 13 (3): 158-160. https://doi.org/10.4103/ojo.ojo_267_2019.

Harvard

Mishra, M., Ramanjulu, R., Shanmugam, M., Mishra, D. and Sridharan, P. (2020) 'Pneumatic displacement for management of traumatic macular hole with submacular hemorrhage', Oman Journal of Ophthalmology, 13(3), pp. 158-160. doi:10.4103/ojo.ojo_267_2019.

Vancouver

Mishra M, Ramanjulu R, Shanmugam M, Mishra D, Sridharan P. Pneumatic displacement for management of traumatic macular hole with submacular hemorrhage. Oman Journal of Ophthalmology. 2020;13(3):158-160. doi:10.4103/ojo.ojo_267_2019

IEEE

M. Mishra, R. Ramanjulu, M. Shanmugam, D. Mishra, and P. Sridharan, "Pneumatic displacement for management of traumatic macular hole with submacular hemorrhage," Oman Journal of Ophthalmology, vol. 13, no. 3, pp. 158-160, 2020, doi: 10.4103/ojo.ojo_267_2019.