Treatment of Suprachoroidal Hemorrhage with Tissue Plasminogen Activator

We evaluated the efficacy of tissue plasminogen activator in treating experimental suprachoroidal hemorrhage. Suprachoroidal hemorrhage was created in 30 white rabbit eyes by implanting four pieces of small, exogenously formed blood coagula into the suprachoroidal space. Animals were randomized for...

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Veröffentlicht in:Ophthalmologica (Basel) 1998, Vol.212 (2), p.120-125
Hauptverfasser: Kwon, Oh W., Kang, Shin J., Lee, Jae B., Lee, Sung C., Yoon, Young D., Oh, Jung H.
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container_end_page 125
container_issue 2
container_start_page 120
container_title Ophthalmologica (Basel)
container_volume 212
creator Kwon, Oh W.
Kang, Shin J.
Lee, Jae B.
Lee, Sung C.
Yoon, Young D.
Oh, Jung H.
description We evaluated the efficacy of tissue plasminogen activator in treating experimental suprachoroidal hemorrhage. Suprachoroidal hemorrhage was created in 30 white rabbit eyes by implanting four pieces of small, exogenously formed blood coagula into the suprachoroidal space. Animals were randomized for treatment with a surgical sponge soaked in 25, 50, or 75 μg of tissue plasminogen activator (tPA) or balanced salt solution (BSS®) as a control. The time when initiation and completion of clot dissolution occurred was established, and histological examination was performed to assess damage. Clot dissolution started within 30 min in the 50- and 75-μg tPA group, whereas it took 2.75 days in the control group; complete dissolution of blood clots took 4.5 h in the 75-μg tPA group and 14 days in the control group. Histological examination revealed a minimal change in photoreceptors within 6 h after treatment with 75 μg tPA. Treatment of suprachoroidal hemorrhage with tPA seems to be effective, but further investigations for determining the effective and nontoxic dose are required.
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Suprachoroidal hemorrhage was created in 30 white rabbit eyes by implanting four pieces of small, exogenously formed blood coagula into the suprachoroidal space. Animals were randomized for treatment with a surgical sponge soaked in 25, 50, or 75 μg of tissue plasminogen activator (tPA) or balanced salt solution (BSS®) as a control. The time when initiation and completion of clot dissolution occurred was established, and histological examination was performed to assess damage. Clot dissolution started within 30 min in the 50- and 75-μg tPA group, whereas it took 2.75 days in the control group; complete dissolution of blood clots took 4.5 h in the 75-μg tPA group and 14 days in the control group. Histological examination revealed a minimal change in photoreceptors within 6 h after treatment with 75 μg tPA. Treatment of suprachoroidal hemorrhage with tPA seems to be effective, but further investigations for determining the effective and nontoxic dose are required.</description><identifier>ISSN: 0030-3755</identifier><identifier>EISSN: 1423-0267</identifier><identifier>DOI: 10.1159/000027295</identifier><identifier>PMID: 9486552</identifier><language>eng</language><publisher>Basel, Switzerland: Karger</publisher><subject>Administration, Topical ; Animals ; Biological and medical sciences ; Choroid Hemorrhage - blood ; Choroid Hemorrhage - drug therapy ; Choroid Hemorrhage - pathology ; Dose-Response Relationship, Drug ; Eye ; Follow-Up Studies ; Medical sciences ; Original Paper · Travail original · Originalarbeit ; Pharmacology. Drug treatments ; Photoreceptor Cells - drug effects ; Photoreceptor Cells - pathology ; Plasminogen Activators - therapeutic use ; Rabbits ; Random Allocation ; Surgical Sponges ; Thrombolytic Therapy ; Tissue Plasminogen Activator - therapeutic use ; Treatment Outcome</subject><ispartof>Ophthalmologica (Basel), 1998, Vol.212 (2), p.120-125</ispartof><rights>1998 S. Karger AG, Basel</rights><rights>1998 INIST-CNRS</rights><rights>Copyright (c) 1998 S. 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Treatment of suprachoroidal hemorrhage with tPA seems to be effective, but further investigations for determining the effective and nontoxic dose are required.</description><subject>Administration, Topical</subject><subject>Animals</subject><subject>Biological and medical sciences</subject><subject>Choroid Hemorrhage - blood</subject><subject>Choroid Hemorrhage - drug therapy</subject><subject>Choroid Hemorrhage - pathology</subject><subject>Dose-Response Relationship, Drug</subject><subject>Eye</subject><subject>Follow-Up Studies</subject><subject>Medical sciences</subject><subject>Original Paper · Travail original · Originalarbeit</subject><subject>Pharmacology. 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Suprachoroidal hemorrhage was created in 30 white rabbit eyes by implanting four pieces of small, exogenously formed blood coagula into the suprachoroidal space. Animals were randomized for treatment with a surgical sponge soaked in 25, 50, or 75 μg of tissue plasminogen activator (tPA) or balanced salt solution (BSS®) as a control. The time when initiation and completion of clot dissolution occurred was established, and histological examination was performed to assess damage. Clot dissolution started within 30 min in the 50- and 75-μg tPA group, whereas it took 2.75 days in the control group; complete dissolution of blood clots took 4.5 h in the 75-μg tPA group and 14 days in the control group. Histological examination revealed a minimal change in photoreceptors within 6 h after treatment with 75 μg tPA. Treatment of suprachoroidal hemorrhage with tPA seems to be effective, but further investigations for determining the effective and nontoxic dose are required.</abstract><cop>Basel, Switzerland</cop><pub>Karger</pub><pmid>9486552</pmid><doi>10.1159/000027295</doi><tpages>6</tpages></addata></record>
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source MEDLINE; Karger Journals
subjects Administration, Topical
Animals
Biological and medical sciences
Choroid Hemorrhage - blood
Choroid Hemorrhage - drug therapy
Choroid Hemorrhage - pathology
Dose-Response Relationship, Drug
Eye
Follow-Up Studies
Medical sciences
Original Paper · Travail original · Originalarbeit
Pharmacology. Drug treatments
Photoreceptor Cells - drug effects
Photoreceptor Cells - pathology
Plasminogen Activators - therapeutic use
Rabbits
Random Allocation
Surgical Sponges
Thrombolytic Therapy
Tissue Plasminogen Activator - therapeutic use
Treatment Outcome
title Treatment of Suprachoroidal Hemorrhage with Tissue Plasminogen Activator
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