Macular hemorrhage – therapy Review article

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Published: Mar 31, 2023
DOI: https://doi.org/10.24292/01.OT.220323.5
Keywords:
submacular hemorrhage, pneumatic displacement, anti-VEGF, rtPA, vitrectomy

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Małgorzata Gawlak
Wydział Lekarski i Nauk o Zdrowiu, Krakowska Akademia im. Andrzeja Frycza Modrzewskiego
http://orcid.org/0000-0003-4573-1379
Katarzyna Guzek
Wydział Lekarski i Nauk o Zdrowiu, Krakowska Akademia im. Andrzeja Frycza Modrzewskiego
http://orcid.org/0000-0003-1790-8667
Bartosz Kuźlik
Wydział Lekarski i Nauk o Zdrowiu, Krakowska Akademia im. Andrzeja Frycza Modrzewskiego
Ada Pandey
Wydział Lekarski i Nauk o Zdrowiu, Krakowska Akademia im. Andrzeja Frycza Modrzewskiego
http://orcid.org/0000-0001-9467-1005
Dominika Prokop
Wydział Lekarski i Nauk o Zdrowiu, Krakowska Akademia im. Andrzeja Frycza Modrzewskiego
http://orcid.org/0000-0001-7318-7716
Oliwia Cwalina
Wydział Lekarski i Nauk o Zdrowiu, Krakowska Akademia im. Andrzeja Frycza Modrzewskiego
http://orcid.org/0000-0002-7071-0273
Kinga Czarnacka
Wydział Lekarski i Nauk o Zdrowiu, Krakowska Akademia im. Andrzeja Frycza Modrzewskiego
http://orcid.org/0000-0002-6889-6507
Alicja Chmura-Hołyst
Wydział Lekarski i Nauk o Zdrowiu, Krakowska Akademia im. Andrzeja Frycza Modrzewskiego
http://orcid.org/0000-0003-0733-1542
Isamel Alsoubie
Wydział Lekarski i Nauk o Zdrowiu, Krakowska Akademia im. Andrzeja Frycza Modrzewskiego
http://orcid.org/0000-0002-0974-3025
Katarzyna Sajak-Hydzik
1. Wydział Lekarski i Nauk o Zdrowiu, Krakowska Akademia im. Andrzeja Frycza Modrzewskiego. 2. Katedra Okulistyki, Krakowska Akademia im. Andrzeja Frycza Modrzewskiego
http://orcid.org/0000-0002-1973-2717
Ilona Pawlicka
1. Wydział Lekarski i Nauk o Zdrowiu, Krakowska Akademia im. Andrzeja Frycza Modrzewskiego. 2. Katedra Okulistyki, Krakowska Akademia im. Andrzeja Frycza Modrzewskiego
Agnieszka Piskorz
1. Wydział Lekarski i Nauk o Zdrowiu, Krakowska Akademia im. Andrzeja Frycza Modrzewskiego. 2. Katedra Okulistyki, Krakowska Akademia im. Andrzeja Frycza Modrzewskiego
https://orcid.org/0000-0003-4553-0497
Maciej Kozak
1. Wydział Lekarski i Nauk o Zdrowiu, Krakowska Akademia im. Andrzeja Frycza Modrzewskiego. 2. Katedra Okulistyki, Krakowska Akademia im. Andrzeja Frycza Modrzewskiego
http://orcid.org/0000-0001-7993-2588
Anna Roszkowska
Katedra Okulistyki, Krakowska Akademia im. Andrzeja Frycza Modrzewskiego
https://orcid.org/0000-0002-8083-3437

Abstract

Submacular hemorrhage treatment is still an important issue in ophthalmology. At present we lack algorithms of treatment that could be used in clinical practice. Efficacy of every treatment method seems to differ by individual factors simultaneously existing in each patient. Therefore, anti-VEGF agents remain crucial in treating patients with coexisting vasculopathy, while in posttraumatic hemorrhage we should lean towards other approaches, like pneumatic displacement. Operative methods, despite being more invasive and burdened with higher potential risk, are indispensable in large hemorrhages, significantly speeding up clot removal. The primary aim of this work is to collect recent data regarding this issue and to determine usefulness of treatment methods in specific cases, regarding factors such as hemorrhage pathophysiology. The following article pertains to currently used treatment methods, such as: pneumatic displacement, anti-VEGF therapy, rtPA and operative methods.

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How to Cite
1.
Gawlak M, Guzek K, Kuźlik B, Pandey A, Prokop D, Cwalina O, Czarnacka K, Chmura-Hołyst A, Alsoubie I, Sajak-Hydzik K, Pawlicka I, Piskorz A, Kozak M, Roszkowska A. Macular hemorrhage – therapy. Ophthatherapy [Internet]. 2023Mar.31 [cited 2024Nov.21];10(1):57-2. Available from: https://journalsmededu.pl/index.php/ophthatherapy/article/view/2701
Issue
Vol 10 No 1 (2023)
Section
Conservative treatment
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Copyright: © Medical Education sp. z o.o. License allowing third parties to copy and redistribute the material in any medium or format and to remix, transform, and build upon the material, provided the original work is properly cited and states its license.

Address reprint requests to: Medical Education, Marcin Kuźma (marcin.kuzma@mededu.pl)

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