Variations in the clinical course of submacular hemorrhage

M. H. Berrocal, M. L. Lewis, Harry W Flynn

Research output: Contribution to journalArticle

121 Citations (Scopus)

Abstract

Purpose: To assess variations in the clinical course of submacular hemorrhages. Methods: We reviewed fundus photography charts taken of patients during a 27-month period. Thirty-one eyes of 31 patients with submacular hemorrhages under the foveal avascular zone were reviewed. Results: In 20 of the eyes, the underlying etiology was age-related macular degeneration (ARMD). The other 11 eyes had various underlying conditions, including macroaneurysms (two), presumed ocular histoplasmosis syndrome (two), trauma (one), Valsalva's retinopathy (one), idiopathic central serous choroidopathy (one), diabetic retinopathy (two), central retinal vein occlusion (one), and choroidal rupture (one). Of the eyes with ARMD (mean follow-up, 29 months), eight (40%) of 20 showed an improvement in visual acuity (≤2 Snellen lines), six (30%) of 20 had a final visual acuity of 20/80 or better, and three (15%) had a final visual acuity of 20/40 or better (range, 20/25 to 20/80). Of the eyes without ARMD (mean follow-up, 29 months), five (45%) of 11 had an improvement in visual acuity and five(45%) of 11 attained a final visual acuity of 20/40 or better (range, 20/20 to 20/40). The best predictive factor for poor final visual acuity was the presence of a subretinal neovascular membrane. Conclusions: Patients with submacular hemorrhage may have spontaneous improvement in visual acuity without surgery. Patients without subretinal neovascular membranes had a better visual improvement rate.

Original languageEnglish
Pages (from-to)486-493
Number of pages8
JournalAmerican Journal of Ophthalmology
Volume122
Issue number4
StatePublished - Oct 12 1996
Externally publishedYes

Fingerprint

Visual Acuity
Hemorrhage
Macular Degeneration
Retinal Vein
Retinal Vein Occlusion
Histoplasmosis
Membranes
Photography
Diabetic Retinopathy
Rupture
Wounds and Injuries

ASJC Scopus subject areas

  • Ophthalmology

Cite this

Variations in the clinical course of submacular hemorrhage. / Berrocal, M. H.; Lewis, M. L.; Flynn, Harry W.

In: American Journal of Ophthalmology, Vol. 122, No. 4, 12.10.1996, p. 486-493.

Research output: Contribution to journalArticle

Berrocal, M. H. ; Lewis, M. L. ; Flynn, Harry W. / Variations in the clinical course of submacular hemorrhage. In: American Journal of Ophthalmology. 1996 ; Vol. 122, No. 4. pp. 486-493.
@article{7d1ace25449b474c9723f3d709f03b98,
title = "Variations in the clinical course of submacular hemorrhage",
abstract = "Purpose: To assess variations in the clinical course of submacular hemorrhages. Methods: We reviewed fundus photography charts taken of patients during a 27-month period. Thirty-one eyes of 31 patients with submacular hemorrhages under the foveal avascular zone were reviewed. Results: In 20 of the eyes, the underlying etiology was age-related macular degeneration (ARMD). The other 11 eyes had various underlying conditions, including macroaneurysms (two), presumed ocular histoplasmosis syndrome (two), trauma (one), Valsalva's retinopathy (one), idiopathic central serous choroidopathy (one), diabetic retinopathy (two), central retinal vein occlusion (one), and choroidal rupture (one). Of the eyes with ARMD (mean follow-up, 29 months), eight (40{\%}) of 20 showed an improvement in visual acuity (≤2 Snellen lines), six (30{\%}) of 20 had a final visual acuity of 20/80 or better, and three (15{\%}) had a final visual acuity of 20/40 or better (range, 20/25 to 20/80). Of the eyes without ARMD (mean follow-up, 29 months), five (45{\%}) of 11 had an improvement in visual acuity and five(45{\%}) of 11 attained a final visual acuity of 20/40 or better (range, 20/20 to 20/40). The best predictive factor for poor final visual acuity was the presence of a subretinal neovascular membrane. Conclusions: Patients with submacular hemorrhage may have spontaneous improvement in visual acuity without surgery. Patients without subretinal neovascular membranes had a better visual improvement rate.",
author = "Berrocal, {M. H.} and Lewis, {M. L.} and Flynn, {Harry W}",
year = "1996",
month = "10",
day = "12",
language = "English",
volume = "122",
pages = "486--493",
journal = "American Journal of Ophthalmology",
issn = "0002-9394",
publisher = "Elsevier USA",
number = "4",

}

TY - JOUR

T1 - Variations in the clinical course of submacular hemorrhage

AU - Berrocal, M. H.

AU - Lewis, M. L.

AU - Flynn, Harry W

PY - 1996/10/12

Y1 - 1996/10/12

N2 - Purpose: To assess variations in the clinical course of submacular hemorrhages. Methods: We reviewed fundus photography charts taken of patients during a 27-month period. Thirty-one eyes of 31 patients with submacular hemorrhages under the foveal avascular zone were reviewed. Results: In 20 of the eyes, the underlying etiology was age-related macular degeneration (ARMD). The other 11 eyes had various underlying conditions, including macroaneurysms (two), presumed ocular histoplasmosis syndrome (two), trauma (one), Valsalva's retinopathy (one), idiopathic central serous choroidopathy (one), diabetic retinopathy (two), central retinal vein occlusion (one), and choroidal rupture (one). Of the eyes with ARMD (mean follow-up, 29 months), eight (40%) of 20 showed an improvement in visual acuity (≤2 Snellen lines), six (30%) of 20 had a final visual acuity of 20/80 or better, and three (15%) had a final visual acuity of 20/40 or better (range, 20/25 to 20/80). Of the eyes without ARMD (mean follow-up, 29 months), five (45%) of 11 had an improvement in visual acuity and five(45%) of 11 attained a final visual acuity of 20/40 or better (range, 20/20 to 20/40). The best predictive factor for poor final visual acuity was the presence of a subretinal neovascular membrane. Conclusions: Patients with submacular hemorrhage may have spontaneous improvement in visual acuity without surgery. Patients without subretinal neovascular membranes had a better visual improvement rate.

AB - Purpose: To assess variations in the clinical course of submacular hemorrhages. Methods: We reviewed fundus photography charts taken of patients during a 27-month period. Thirty-one eyes of 31 patients with submacular hemorrhages under the foveal avascular zone were reviewed. Results: In 20 of the eyes, the underlying etiology was age-related macular degeneration (ARMD). The other 11 eyes had various underlying conditions, including macroaneurysms (two), presumed ocular histoplasmosis syndrome (two), trauma (one), Valsalva's retinopathy (one), idiopathic central serous choroidopathy (one), diabetic retinopathy (two), central retinal vein occlusion (one), and choroidal rupture (one). Of the eyes with ARMD (mean follow-up, 29 months), eight (40%) of 20 showed an improvement in visual acuity (≤2 Snellen lines), six (30%) of 20 had a final visual acuity of 20/80 or better, and three (15%) had a final visual acuity of 20/40 or better (range, 20/25 to 20/80). Of the eyes without ARMD (mean follow-up, 29 months), five (45%) of 11 had an improvement in visual acuity and five(45%) of 11 attained a final visual acuity of 20/40 or better (range, 20/20 to 20/40). The best predictive factor for poor final visual acuity was the presence of a subretinal neovascular membrane. Conclusions: Patients with submacular hemorrhage may have spontaneous improvement in visual acuity without surgery. Patients without subretinal neovascular membranes had a better visual improvement rate.

UR - http://www.scopus.com/inward/record.url?scp=0029781944&partnerID=8YFLogxK

UR - http://www.scopus.com/inward/citedby.url?scp=0029781944&partnerID=8YFLogxK

M3 - Article

C2 - 8862044

AN - SCOPUS:0029781944

VL - 122

SP - 486

EP - 493

JO - American Journal of Ophthalmology

JF - American Journal of Ophthalmology

SN - 0002-9394

IS - 4

ER -