[Spontaneous rupture of Bruch's membrane and transient macular hemorrhage in patients with myopia]

18 eyes of 14 pathologic myopia patients with lacker cracks have been studied during a mean follow up of 45 months by initial and final clinical and fluoroangiography evaluation. These lacker cracks happen early in the myopia degeneration evolution in young patients. The evolution is marked by transient coinlike macular hemorrhages without CNM detectable. Prognosis for the retention of central vision after macular hemorrhages resolution is good. It mainly depends of lacker cracks initial location if macular quite wrong, if intramacular, quite right. Development of CNM is an infrequent eventuality but must be systematically research by angio-fluorography after spontaneous macular hemorrhage resolution which usually occurs 4 or 6 weeks later.