[Traumatic submacular hemorrhage treated with rt-PA and SF6].
METHODS
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.


CONCLUSIONS
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.
Heras-Mulero
H
H
Departamento de Oftalmología, Clínica Universitaria de Navarra, Pamplona (Navarra), España. henarheras@yahoo.es
García-Gómez
P J
PJ
Sádaba-Echarri
L M
LM
Salinas-Alamán
A
A
García-Layana
A
A
D000328:Adult; D005131:Eye Injuries / Q000150:complications*; D006801:Humans; D008297:Male; D012166:Retinal Hemorrhage / Q000188:drug therapy* / Q000209:etiology*; D013459:Sulfur Hexafluoride / Q000008:administration & dosage / Q000627:therapeutic use*; D013997:Time Factors; D010959:Tissue Plasminogen Activator / Q000008:administration & dosage / Q000627:therapeutic use*; D016896:Treatment Outcome
D010959:Tissue Plasminogen Activator; D013459:Sulfur Hexafluoride