Melis Kabaalioglu Guner, Kevin Ferenchak, Sophie J. Bakri
{"title":"急性髓细胞白血病相关视网膜下出血的手术移位","authors":"Melis Kabaalioglu Guner, Kevin Ferenchak, Sophie J. Bakri","doi":"10.1016/j.ajoint.2024.100017","DOIUrl":null,"url":null,"abstract":"<div><h3>Purpose</h3><p>To report displacement of thick submacular hemorrhage with pars plana vitrectomy (PPV) and subretinal tissue plasminogen activator (tPA) in a patient with Acute Myeloblastic Leukemia (AML).</p></div><div><h3>Design and Methods</h3><p>Case report.</p></div><div><h3>Results</h3><p>A 65-year-old man with a new diagnosis of AML developed significant intraretinal hemorrhages in both eyes; subretinal and sub-inner limiting membrane (ILM) hemorrhage in the left eye. He underwent 23-gauge PPV, subretinal tPA injection, and air-fluid exchange for subretinal hemorrhage. Foveal subretinal hemorrhage and visual acuity improved after surgery, but he had late post-operative vitreous hemorrhage.</p></div><div><h3>Observations</h3><p>A 65-year-old man with a new diagnosis of AML developed significant intraretinal hemorrhages in both eyes; subretinal and sub-inner limiting membrane (ILM) hemorrhage in the left eye. He underwent 23-gauge PPV, subretinal tPA injection, and air-fluid exchange for subretinal hemorrhage. Foveal subretinal hemorrhage and visual acuity improved after surgery, but he had late post-operative vitreous hemorrhage.</p></div><div><h3>Conclusions and Importance</h3><p>This novel case report documents successful displacing subretinal hemorrhage associated with AML with PPV and subretinal tPA.</p></div>","PeriodicalId":100071,"journal":{"name":"AJO International","volume":"1 2","pages":"Article 100017"},"PeriodicalIF":0.0000,"publicationDate":"2024-04-24","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.sciencedirect.com/science/article/pii/S2950253524000170/pdfft?md5=7333898cc98382ae2dfbdf0817c54738&pid=1-s2.0-S2950253524000170-main.pdf","citationCount":"0","resultStr":"{\"title\":\"Surgical displacement of subretinal hemorrhage associated with acute myeloblastic Leukemia\",\"authors\":\"Melis Kabaalioglu Guner, Kevin Ferenchak, Sophie J. Bakri\",\"doi\":\"10.1016/j.ajoint.2024.100017\",\"DOIUrl\":null,\"url\":null,\"abstract\":\"<div><h3>Purpose</h3><p>To report displacement of thick submacular hemorrhage with pars plana vitrectomy (PPV) and subretinal tissue plasminogen activator (tPA) in a patient with Acute Myeloblastic Leukemia (AML).</p></div><div><h3>Design and Methods</h3><p>Case report.</p></div><div><h3>Results</h3><p>A 65-year-old man with a new diagnosis of AML developed significant intraretinal hemorrhages in both eyes; subretinal and sub-inner limiting membrane (ILM) hemorrhage in the left eye. He underwent 23-gauge PPV, subretinal tPA injection, and air-fluid exchange for subretinal hemorrhage. Foveal subretinal hemorrhage and visual acuity improved after surgery, but he had late post-operative vitreous hemorrhage.</p></div><div><h3>Observations</h3><p>A 65-year-old man with a new diagnosis of AML developed significant intraretinal hemorrhages in both eyes; subretinal and sub-inner limiting membrane (ILM) hemorrhage in the left eye. He underwent 23-gauge PPV, subretinal tPA injection, and air-fluid exchange for subretinal hemorrhage. Foveal subretinal hemorrhage and visual acuity improved after surgery, but he had late post-operative vitreous hemorrhage.</p></div><div><h3>Conclusions and Importance</h3><p>This novel case report documents successful displacing subretinal hemorrhage associated with AML with PPV and subretinal tPA.</p></div>\",\"PeriodicalId\":100071,\"journal\":{\"name\":\"AJO International\",\"volume\":\"1 2\",\"pages\":\"Article 100017\"},\"PeriodicalIF\":0.0000,\"publicationDate\":\"2024-04-24\",\"publicationTypes\":\"Journal Article\",\"fieldsOfStudy\":null,\"isOpenAccess\":false,\"openAccessPdf\":\"https://www.sciencedirect.com/science/article/pii/S2950253524000170/pdfft?md5=7333898cc98382ae2dfbdf0817c54738&pid=1-s2.0-S2950253524000170-main.pdf\",\"citationCount\":\"0\",\"resultStr\":null,\"platform\":\"Semanticscholar\",\"paperid\":null,\"PeriodicalName\":\"AJO International\",\"FirstCategoryId\":\"1085\",\"ListUrlMain\":\"https://www.sciencedirect.com/science/article/pii/S2950253524000170\",\"RegionNum\":0,\"RegionCategory\":null,\"ArticlePicture\":[],\"TitleCN\":null,\"AbstractTextCN\":null,\"PMCID\":null,\"EPubDate\":\"\",\"PubModel\":\"\",\"JCR\":\"\",\"JCRName\":\"\",\"Score\":null,\"Total\":0}","platform":"Semanticscholar","paperid":null,"PeriodicalName":"AJO International","FirstCategoryId":"1085","ListUrlMain":"https://www.sciencedirect.com/science/article/pii/S2950253524000170","RegionNum":0,"RegionCategory":null,"ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":null,"EPubDate":"","PubModel":"","JCR":"","JCRName":"","Score":null,"Total":0}
Surgical displacement of subretinal hemorrhage associated with acute myeloblastic Leukemia
Purpose
To report displacement of thick submacular hemorrhage with pars plana vitrectomy (PPV) and subretinal tissue plasminogen activator (tPA) in a patient with Acute Myeloblastic Leukemia (AML).
Design and Methods
Case report.
Results
A 65-year-old man with a new diagnosis of AML developed significant intraretinal hemorrhages in both eyes; subretinal and sub-inner limiting membrane (ILM) hemorrhage in the left eye. He underwent 23-gauge PPV, subretinal tPA injection, and air-fluid exchange for subretinal hemorrhage. Foveal subretinal hemorrhage and visual acuity improved after surgery, but he had late post-operative vitreous hemorrhage.
Observations
A 65-year-old man with a new diagnosis of AML developed significant intraretinal hemorrhages in both eyes; subretinal and sub-inner limiting membrane (ILM) hemorrhage in the left eye. He underwent 23-gauge PPV, subretinal tPA injection, and air-fluid exchange for subretinal hemorrhage. Foveal subretinal hemorrhage and visual acuity improved after surgery, but he had late post-operative vitreous hemorrhage.
Conclusions and Importance
This novel case report documents successful displacing subretinal hemorrhage associated with AML with PPV and subretinal tPA.