Heras-Mulero H, Garcia-Gomez PJ, Sadaba-Echarri LM, Salinas-Alaman A, Garcia-Layana A. Hemorragia submacular traumática tratada con rt-PA y SF6. Arch Soc Esp Oftalmol 2007 Aug;82(8):517-520.
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.