By Manish Nagpal, MD; Kartikey Kothari, MBBS, MS
    AAO 2015

    Various medical and surgical modalities have been described for managing a large submacular hemorrhage — all with mixed success. In this video, the authors demonstrate a surgical technique using a large retinectomy to evert the retinal flap and expose the submacular hemorrhage. The hemorrhage and the underlying membrane are removed using the cutter. The retina is then reattached and a good anatomical and functional reattachment is achieved. This technique of creating a retinectomy for large submacular hemorrhage allows the surgeon preferable visualization and control over evacuating the blood. In addition, the surgery is replicable, with a short learning curve for similar situations.