Good Hope Eye Clinic

Extensive submacular haemorrhage due to CNV (wet amd)

David Kinshuck

choroidal neovascularisation = CNV = wet ARMD macular haemorrhage


Occasionally large haemorrhages develop in the macular area. These are more likely in smokers, aspirin/anticoagulant users, especially if there is hypertension, or in very elderly patients. Various treatments have been tried, and the best treatment at present is gas tampanade with tissue plasminogen activator and anti-VEGF Eye 16.  another Eye 16

Injection of tissue plasminogen activator (TPA) followed by gas often displaces the blood. By displacing the blood, vision may improve, but also there will be less macular scarring and better sight in the long-term. The treatment needs to be carried out if possible within 24 hours, and is less successful if delayed longer.

If the sight is better than 6/120 anti-vegf treatment will help AJO13. Anti-VEGFsare helpful even if given alone Eye 15.