Subretinal rTPA injection in subretinal mass hemorrhage in AMD
Subretinal mass hemorrhage due to exsudative age-related macular degeneration can often be displaced using the simple technique of subretinal rTPA injection and air tamponade. This minimally invasive approach using 27g vitrectomy allows for subretinal injection of rTPA dissolving the bleeding. The air tamponade of the vitreous cavity displaces the dissolved blood with a high success rate.*
Prof. Peter Szurman - Eye Clinic Sulzbach, Knappschaft Hospital Saar, www.augenklinik-sulzbach.de

*Literature:
Waizel M, Kazerounian S, Rickmann A, Januschowski K, Szurman P. Efficacy of vitrectomy combined with subretinal recombinant tissue plasminogen activator (rtPA) for subretinal versus sub-pigment epithelial versus combined hemorrhages Br J Ophthalmol; under revision
Waizel M, Kazerounian S, Rickmann A, Szurman P. Efficacy of vitrectomy combined with subretinal recombinant tissue plasminogen activator (rtPA) with gas versus air tamponade. Br J Ophthalmol; under revision

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