Bilateral Prefoveal Sub-Internal Limiting Membrane Hemorrhage in Autoimmune Hemolytic Anemia.
Severe anemia can cause multilayered retinal hemorrhages. A 65-year-old woman noted "red spheres" in the central vision of both eyes during a hospital admission for autoimmune hemolytic anemia. Examination revealed extensive multilayered retinal hemorrhages, including bilateral foveal preretinal hemorrhage. Spectral-domain optical coherence tomography localized the preretinal blood to the sub-internal limiting membrane (ILM) space. Various options are available for management of such hemorrhage, including observation for spontaneous resolution, YAG laser membranotomy, or pars plana vitrectomy with ILM peeling. In the authors' patient, the size of the sub-ILM hemorrhage spontaneously improved during the course of 1 month, with both subjective and objective visual improvement. [Ophthalmic Surg Lasers Imaging Retina. 2016;47:1151-1153.].
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Related Subject Headings
- Visual Acuity
- Tomography, Optical Coherence
- Retinal Hemorrhage
- Remission, Spontaneous
- Humans
- Fundus Oculi
- Fovea Centralis
- Fluorescein Angiography
- Female
- Anemia, Hemolytic, Autoimmune
Citation
Published In
DOI
EISSN
Publication Date
Volume
Issue
Start / End Page
Location
Related Subject Headings
- Visual Acuity
- Tomography, Optical Coherence
- Retinal Hemorrhage
- Remission, Spontaneous
- Humans
- Fundus Oculi
- Fovea Centralis
- Fluorescein Angiography
- Female
- Anemia, Hemolytic, Autoimmune