Dr.REHNA RASHEED

, Dr. GOPAL S. PILLAI, Dr.Natasha Radhakrishnan, DR. KIRAN KR

Abstract

Submacular surgery (SMH) when it involves the central macular area poses severe threat to vision.It is most commonly due to polypoidal choroidal vasculopathy and choroidal neovascular membrane from age related macular degeneration. Given its poor natural course, various treatment options have been tried, but ideal treatment is still dubious.Various surgical options include pneumatic displacement of SMH with or without tissue plasminogen activator and direct clot evacuation through one or more retinotomies. Heavy liquids can be used to squeeze the fluid out of the retinotomies. In case of massive sub retinal haemorrhage retinectomies can be done and retina everted to remove the submacular haemorrhage. Here,in this video we present various surgical techniques done in our institute for SMH and their outcomes.