Non-vitrectomizing vitreous surgery for premacular haemorrhage.
OBJECTIVE
We report three cases illustrating an alternative treatment option for premacular haemorrhage.


METHODS
This retrospective interventional case study included three eyes in three patients with premacular haemorrhage caused by idiopathic thrombocytopenic purpura in the first case, trauma in the second case and retinal arterial macroaneurysm in the third case. All patients underwent non-vitrectomizing vitreous surgery. Visual acuity as well as slit-lamp and indirect ophthalmoscopic examinations were performed pre- and postoperatively to evaluate the resolution of premacular haemorrhage and changes in lenticular opacity.


RESULTS
At postoperative day 1, visual acuity had improved from counting fingers (CF) to 6/12 in case 1, from CF to 6/20 in case 2 and from CF to 3/60 in case 3. Examination of the fundus showed resolution of the premacular haemorrhage with mild vitreous haemorrhage in all cases. Final best corrected visual acuities were 6/6, 6/7.5 and 6/15, respectively. The lens remained clear in two of two phakic eyes at the last follow-up visit.


CONCLUSIONS
In these selected cases, non-vitrectomizing vitreous surgery was a useful and safe alternative for the treatment of premacular haemorrhage.
Wu
Tsung-Tien
TT
Department of Ophthalmology, Kaohsiung Veterans General Hospital, Taiwan. ttwu@isca.vghks.gov.tw
Chuang
Chiu-Tung
CT
Sheu
Shwu-Jiuan
SJ
Chiou
Yee-Hsuan
YH
D000293:Adolescent; D000328:Adult; D000369:Aged, 80 and over; D005260:Female; D006801:Humans; D008297:Male; D016553:Purpura, Thrombocytopenic, Idiopathic / Q000150:complications / Q000601:surgery*; D012166:Retinal Hemorrhage / Q000209:etiology / Q000601:surgery*; D012189:Retrospective Studies; D014792:Visual Acuity / Q000502:physiology; D014821:Vitrectomy; D014822:Vitreous Body / Q000601:surgery*