Haemorrhagic maculopathy in young adults

The results from a retrospective clinical study of a group of patients with a specific macular disease are presented. The group includes young adults, otherwise healthy, with no hereditary diseases. The macular disease is as a rule monolateral. The lesion consits of a small central nodule surrounded by subretinal haemorrhages, retinal oedema and degenerative changes in the adjacent pigment epithelium. Fluorescein angiography demonstrates subretinal neovascularization in the central part of the lesion. The disease is selflimiting and the lesion develops into a fibrotic scar. In some cases, small, atrophic spots are seen scattered in the eyeground. There is no vitreous reaction and no signs of anterior uveitis. The clinical picture is identical with the macular lesion reported in the presumed ocular histoplasmosis syndrome.