Hemorragia submacular traumatica tratada con rt-PA y SF6
| Autor: | García-Gómez Pj, García-Layana A, Heras-Mulero H, Angel Salinas-Alamán, L.M. Sádaba-Echarri |
|---|---|
| Rok vydání: | 2007 |
| Předmět: |
medicine.medical_specialty
Visual acuity genetic structures medicine.medical_treatment Treatment outcome Vitrectomy Poor visual acuity traumatismo ocular Eye injuries Agudeza visual Eye Injuries/complications medicine rt-PA Retinal Hemorrhage/drug therapy/etiology Retina activador tisular del plasminógeno business.industry hemorragia submacular Macular degeneration Sulfur Hexafluoride/administration & dosage/therapeutic use medicine.disease Surgery Ophthalmology medicine.anatomical_structure sangre subfoveal medicine.symptom business |
| Zdroj: | Archivos de la Sociedad Española de Oftalmología v.82 n.8 2007 SciELO España. Revistas Científicas Españolas de Ciencias de la Salud instname Dadun. Depósito Académico Digital de la Universidad de Navarra |
| Popis: | espanolCaso clinico: Paciente que presenta hemorragia submacular de origen traumatico. Se realiza vitrectomia posterior y administracion intravitrea de rt-PA y SF₆. A las cuatro semanas la agudeza visual habia pasado de 0,1 a 0,8. El paciente no presento ninguna complicacion derivada del tratamiento con rt-PA Discusion: Debido a que la sangre es toxica para la retina esperar a su reabsorcion espontanea comporta una pobre recuperacion visual. El rt-PA administrado junto al SF₆ es util para el tratamiento de hemorragias submaculares secundarias a degeneracion macular asociada a la edad, pero tambien puede ser util para la lisis de coagulos hematicos traumaticos favoreciendo la recuperacion de la agudeza visual. EnglishCase report: This patient was afflicted by a traumatic submacular hemorrhage. A posterior vitrectomy was performed and intravitreal rt-PA and SF₆ were administered. Four weeks later, the visual acuity had increased from 0.1 to 0.8. No complications due to the treatment with rt-PA were reported. Discussion: It is known that waiting for the spontaneous blood removal in such cases results in a poor visual acuity recovery due to a toxic effect of the blood products. Both rt-PA and the SF₆ are useful for the treatment of submacular hemorrhages secondary to age-related macular degeneration, and this case report has shown they are also useful to lyse traumatic blood clots, thus contributing to a better recovery of visual acuity |
| Databáze: | OpenAIRE |
| Externí odkaz: |
|