AN 18-YEAR-OLD woman who was 36 weeks' pregnant had a 1-week history of a large red scotoma in the superior half of her vision in the left eye. She denied trauma or pain. Her ophthalmic and medical histories were negative for diabetes mellitus and systemic hypertension.
Visual acuity was 20/20 OD and counting fingers OS. There was no afferent pupillary defect. Intraocular pressure was normal in both eyes. Extraocular motility was normal and visual fields were full to confrontation in both eyes. Anterior segment examination results were normal. Results of a dilated fundus examination were normal in the right eye; the left eye showed a large area of preretinal hemorrhage over the macula (Figure 1).
Zaman F, Irwin R, Godley BF. Nd:YAG Laser Treatment for Macular Preretinal Hemorrhage. Arch Ophthalmol. 1999;117(5):694. doi:10.1001/archopht.117.5.694