What factors influence the decision between anti-VEGF injections and surgical displacement with tPA for treating submacular hemorrhage in AMD patients?  

In my experience, the speed at which I can get to the OR and the willingness of the patient to do surgery are the only factors that have affected the success of the surgery. If I can give an anti-VEGF on presentation and get to the OR within the week to inject subretinal tPA, then I have a chance to...