Characteristics of submacular hemorrhage with bacillary layer detachment and intrabacillary hemorrhage.

IF 1.4 4区医学 Q3 OPHTHALMOLOGY European Journal of Ophthalmology Pub Date : 2024-11-15 DOI:10.1177/11206721241300204

Ayushi Choudhary, Saloni Kapoor, Gaurang Sehgal, Priyanka Gandhi, Rupal Kathare, Vishma Prabhu, Prathiba Hande, Naresh Kumar Yadav, Jay Chhablani, Ramesh Venkatesh

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Abstract

Purpose: To study the outcomes of patients presenting with submacular hemorrhage (SMH) and bacillary layer detachment (BALAD) following intervention.

Methods: This retrospective study examined fundus photographs and optical coherence tomography (OCT) scans to identify treatment-naive SMH and BALAD cases. Two groups were formed: SMH cases with and without BALAD. The treatment outcomes of these cases were assessed.

Results: Thirteen (65%) of the 20 eyes with SMH had BALAD. Blunt trauma was the most common cause of SMH (n = 10, 50%). Median age was 46 years (IQR range: 28-70). Demographic, clinical, or OCT imaging findings between the groups (p > 0.05) were comparable. Nine (45%) patients each underwent intravitreal gas injection alone or along with PPV and TpA injection. At 1-month post-treatment, VA improved (logMAR VA - 0.89; p = 0.017). BALADs and intrabacillary hemorrhage had resolved in eight (61%) cases. Intraretinal, subretinal, and sub-RPE fluids resolved in 100%, 70%, and 43% of cases, respectively. Eyes with resolved BALAD showed greater improvement in VA (logMAR VA - 0.98) than eyes with persisting BALAD (logMAR VA - 1.1) and resulted in significant decrease in central macular (p = 0.016) and retinal thicknesses (p = 0.031). SMH eyes without pre-treatment BALAD also observed statistically significant improvement in visual acuity following intervention (p = 0.031).

Conclusion: BALAD and intrabacillary hemorrhage in SMH are relatively common. A significant proportion of cases had their BALAD and intrabacillary haemorrhage resolved following treatment. Persistence of BALAD had no effect on VA.

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白膜下出血伴乳头层脱落和毛细血管内出血的特征。

目的：研究白内障下出血（SMH）和乳头层脱离（BALAD）患者干预后的疗效：这项回顾性研究检查了眼底照片和光学相干断层扫描（OCT）扫描，以确定未经治疗的 SMH 和 BALAD 病例。研究分为两组：有 BALAD 和无 BALAD 的 SMH 病例。对这些病例的治疗结果进行了评估：20例SMH患者中有13例（65%）患有BALAD。钝性外伤是导致 SMH 的最常见原因（10 例，50%）。中位年龄为 46 岁（IQR 范围：28-70）。两组患者的人口统计学、临床或 OCT 成像结果（P > 0.05）相当。九名患者（45%）分别接受了单独或与 PPV 和 TpA 同时进行的玻璃体内气体注射。治疗后 1 个月，视力有所改善（logMAR VA - 0.89; p = 0.017）。有 8 例（61%）患者的 BALAD 和毛细血管内出血得到缓解。100%、70% 和 43% 的病例视网膜内液、视网膜下液和 RPE 下液已经消退。与持续存在 BALAD 的眼睛（logMAR VA - 1.1）相比，BALAD 消失的眼睛的视力改善幅度更大（logMAR VA - 0.98），黄斑中心厚度（p = 0.016）和视网膜厚度（p = 0.031）也显著下降。未接受 BALAD 治疗的 SMH 眼睛在干预后视力也有统计学意义上的明显改善（p = 0.031）：结论：SMH 中的 BALAD 和毛细血管内出血相对常见。结论：BALAD 和毛细血管内出血在 SMH 中较为常见。BALAD 的持续存在对 VA 没有影响。

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来源期刊

European Journal of Ophthalmology 医学-眼科学

CiteScore

3.60

自引率

0.00%

发文量

372

审稿时长

3-8 weeks

期刊介绍： The European Journal of Ophthalmology was founded in 1991 and is issued in print bi-monthly. It publishes only peer-reviewed original research reporting clinical observations and laboratory investigations with clinical relevance focusing on new diagnostic and surgical techniques, instrument and therapy updates, results of clinical trials and research findings.