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나이관련황반변성의 심한 황반하출혈에서 유리체강내 팽창가스와 항혈관내피성장인자 병합요법
이민영,서원문,최율제,Min Young Lee,MD,Won Moon Seo,MD,Yul Je Choi,MD 대한안과학회 2013 대한안과학회지 Vol.54 No.3
Purpose: To evaluate the effect of intravitreal expansile gas (C3F8) with anti-VEGF injection for the treatment of large submacular hemorrhage (SMH) secondary to age-related macular degeneration (ARMD). Methods: In this report, 18 eyes of 18 patients with large SMH secondary to ARMD were treated with a simultaneous injection of 0.3 cc C3F8 and 0.05 ml anti-VEGF intravitrealy. Results: The mean age was 64.89 ± 5.68 years and the mean size of SMH was 4.44 ± 1.25 disc diameters (DD). The minimum follow-up period was 12 months (range: 12-17 months). Mean preoperative best corrected visual acuity (BCVA) was 1.72 ± 0.56 log MAR which improved significantly to 1.01 ± 0.68 log MAR at 12 months (p = 0.002). SMH displacement occurred in all eyes. BCVA improved 2 or more lines in 11 eyes (61.1%) and deteriorated in 1 eye (5.6%). Conclusions: In this report, intravitreal injection of an expansible gas (C3F8) with anti-VEGF produced successful results in anatomical displacement of SMH and early visual improvement.