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  5. FP0746 : Clinical & visual outcomes of patients with submacular hemorrhage and bacillary layer detachment

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Chief & Presenting Author: Dr. Gaurang Sehgal

Co Author(s): Dr.Ramesh Venkatesh, Dr.Ayushi Choudhary

Abstract

Study Design : Retrospective, double-center study including patients with treatment-naïve SMH.
Purpose :Clinical and visual outcomes of patients with submacular hemorrhage and bacillary layer detachment (BALAD )
Methods: Based on the presence or absence of BALAD on OCT, the cases were divided into two groups: Group A (SMH with BALAD) and Group B (SMH without BALAD). These cases after intravitreal gas injection with or without tissue plasminogen activator or pars plana vitrectomy were compared.
Results: 20 eyes with SMH were identified, with 13 (65%) having associated SMH. Blunt trauma was the leading cause (n=10, 50%), followed by nAMD (n=7, 35%) and PCV (n=3, 15%). Eight out of thirteen cases (61%) had their BALADs and intrabacillary haemorrhage resolved. Eyes with SMH and pretreatment BALAD had a greater improvement in visual acuity in eyes without BALAD (median logMAR visual acuity – 0.98) than in eyes with BALAD (median logMAR visual acuity – 1.1) after treatment (p=0.542).