Tissue plasminogen activator-assisted vitrectomy for ruptured eye with suprachoroidal hemorrhage.

ABSTRACT:

Purpose

To report a case of a ruptured eye with a suprachoroidal hemorrhage (SCH) in which tissue plasminogen activator (tPA)-assisted vitrectomy was successful in reconstructing the globe and restoring good vision.

Case

A 32-year-old man was struck on the right eye by a surfboard. His eye was ruptured and his visual acuity decreased to hand movements. Surgery was immediately performed to successfully close the ruptured globe. Nine days later, a second surgery was performed, and tPA (25 µg/0.1 ml monteplase) was used to liquefy and drain the SCH. This freed enough vitreous space for a more comprehensive vitrectomy. Eighteen months after the injury, the retina remained attached, and the decimal best-corrected visual acuity improved to 0.8.

Conclusion

tPA was helpful in

SUBMITTER: Matsumoto K 

PROVIDER: S-EPMC3433021 | biostudies-literature | 2012 May

REPOSITORIES: biostudies-literature