Abstract
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Highlights
A 76-year-old female presented with a history of non-exudative macular degeneration presented with a submacular hemorrhage (SMH) due to conversion to exudative macular degeneration in the left eye [Figure 1]
Mild toxicity results in localized outer retinal dysfunction in rabbits, while severe toxicity can result in extensive retinal necrosis.[2]
Chen et al described the case of a 49-year-old male who developed tissue plasminogen activator (tPA)-induced retinal pigment epithelium (RPE) changes within five weeks after two 50 μg injections of tPA for SMH into the vitreous cavity
Summary
A 76-year-old female presented with a history of non-exudative macular degeneration presented with a submacular hemorrhage (SMH) due to conversion to exudative macular degeneration in the left eye [Figure 1]. Subretinal tPA to treat SMH is increasingly used due to its generally excellent outcomes.[1] tPA can induce retinal toxicity in a dose dependent manner.
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