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Hemorrhagic peripheral pigment epithelial disease.
W V Delaney1, P F Torrisi, G R Hampton
1Eye Research Institute of Central New York, Syracuse 13224.
Archives of Ophthalmology (Chicago, Ill. : 1960)
|May 1, 1988
Summary
Peripheral retinal hemorrhage in aging macular degeneration patients led to poor visual recovery. Subretinal neovascularization may cause this bleeding, impacting vision significantly.
Area of Science:
- Ophthalmology
- Retinal Diseases
- Macular Degeneration
Background:
- Peripheral retinal hemorrhage can occur in patients with aging macular degeneration and histoplasmosis syndrome.
- The macula is not typically the source of bleeding in these cases.
Observation:
- Hemorrhage was observed under the retinal pigment epithelium and neurosensory retina in the temporal periphery.
- Peripheral subretinal neovascularization is a potential cause, often seen histopathologically.
Findings:
- Visual recovery was consistently poor following peripheral hemorrhage.
- Most patients did not regain lost vision after the onset of peripheral bleeding.
Implications:
- Peripheral hemorrhage necessitates a broad differential diagnosis, including retinal detachment and choroidal melanoma.
- Early detection and management strategies for peripheral subretinal neovascularization are crucial for preserving vision in at-risk patients.