Abstract

Submacular hemorrhage poses a challenging scenario in retina surgery, demanding innovative strategies for optimal outcomes.
Case 1 : Submacular hemorrhage secondary to IPCV (polypoidal choroidal vasculopathy). Vitrectomy with subretinal injection of tissue plasminogen activator (tPA) was employed.
Case 2: Subretinal drainage. Controlled retinotomy and delicate removal of subretinal clot, while minimizing iatrogenic damage.
Case 3: Use of large retinectomy where submacular drainage fails/ presence of clot
Case 4: Subretinal hemorrhage and gliosis which requires retinotomy with the extraction of subretinal gliotic membrane
Case 5: Removal of subretinal IOL
The surgical video exemplifies the efficacy of multiple approaches to address submacular hemorrhage. Tailoring interventions based on the specific case characteristics and integrating advanced surgical techniques proved essential in achieving favorable outcomes