Case Report

Pneumatic Displacement with Perfluoropropane Gas and Intravitreal Tissue Plasminogen Activator for Subretinal Subfoveal Hemorrhage after Focal Laser Photocoagulation in Central Serous Chorioretinopathy

Figure 3

(a) Optical coherence tomography (OCT) revealed an increased central macular thickness (CMT) of 398 μ with loss of foveal architecture and subretinal hemorrhage with a neurosensory retinal detachment. (b) Two weeks after pneumatic displacement with C3F8 and intravitreal tissue plasminogen activator, visual acuity improved to 20/80 and CMT decreased to 225 μ. A hyperreflective fusiform elevation of the retinal pigment epithelium/choriocapillaris complex that seems to correspond to fibrosis tissue is seen at the thermal laser site. A small subfoveal neurosensory retinal detachment persists. However, there is normalization of the foveal architecture.
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