학술논문

Subretinal Hemorrhage From Choroidal Neovascularization: Fluorescein Angiographic Documentation
Document Type
Article
Source
Archives of Ophthalmology; February 1990, Vol. 108 Issue: 2 p174-175, 2p
Subject
Language
ISSN
00039950; 15383601
Abstract
Verhoeff believed that the organization of prior subretinal hemorrhage resulted in new vessels invading the subpigment epithelial space from the choroid.1 With the advent of fluorescein sodium angiography, however, Gass was able to document that subretinal neovascularization can occur in the absence of a preceding hemorrhage.1 The proper sequence of choroidal neovascularization preceding a subretinal hemorrhage is now well established.2 Despite recognizing the pathogenic mechanism, hemorrhage emanating from a choroidal neovascular frond has, to our knowledge, never been documented photographically. We recorded a subretinal hemorrhage occurring from choroidal subretinal neovascularization during fluorescein angiography. REPORT OF A CASE. —Fluorescein angiography was performed to evaluate a sensory retinal detachment associated with a pigmented subretinal scar in the left eye of a 71-year-old woman (Fig 1, left). The patient had not previously undergone fluorescein angiography, did not have a known bleeding diathesis, and was not taking any substance with a