Subhyaloid hemorrhage treated with SF6 gas injection.
A 72-year old woman with a premacular subhyaloid hemorrhage could not be treated by laser photodisruption due to a thick posterior cortical vitreous. Pure sulfur hexafluoride (SF6, 0.3 mL) gas was injected intravitreally without recombinant tissue plasminogen activator, and facedown positioning was recommended for 5 days. Posterior vitreous detachment was induced and the hemorrhage dispersed into the vitreous cavity. Eight weeks later, her visual acuity had recovered from hand motions to 20/40. Fluorescein angiography revealed an arterial macroaneurysm in the inferotemporal retina. Intravitreal SF6 gas injection without recombinant tissue plasminogen activator may be an alternative method for treating a relatively new subhyaloid hemorrhage.
Department of Ophthalmology, Chonnam National University Medical School and Hospital, Chonnam National University Research Institute for Medical Sciences, Kwangiu, Korea.
Sang-Woo
SW
Park
Man-Seong
MS
Seo
D000368:Aged; D000783:Aneurysm / Q000150:complications; D005260:Female; D005451:Fluorescein Angiography; D005740:Gases; D006801:Humans; D007267:Injections; D016684:Prone Position; D012164:Retinal Diseases / Q000150:complications; D012166:Retinal Hemorrhage / Q000175:diagnosis / Q000188:drug therapy* / Q000209:etiology; D012171:Retinal Vessels / Q000473:pathology; D013459:Sulfur Hexafluoride / Q000008:administration & dosage*
D005740:Gases; D013459:Sulfur Hexafluoride