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October 1999

Pneumatic Displacement of Subretinal Hemorrhage Without Tissue Plasminogen Activator

Arch Ophthalmol. 1999;117(10):1448. doi:

Ohji et al1 reported favorable visual outcome after pneumatic displacement of submacular hemorrhage in 1 patient with retinal macroaneurysm and in 4 patients with age-related macular degeneration. I agree with the diagnosis of retinal macroaneurysm in case 2. I wonder, however, whether age-related macular deneration is a correct diagnosis in the other 4 patients. In case 1, degenerative changes around the optic disc lead me to think of angiod streaks as a possible diagnosis. In cases 3 and 4, the presence of localized small hemorrhagic retinal pigment epithelial detachment suggests a possible diagnosis of idiopathic polypoidal choroidal vasculopathy. There is no argument about the diagnosis of age-related macular degeneration in case 5.

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