A 67-YEAR-OLD woman had an 8-week history of visual loss in the left eye and a visual acuity of 20/400 OS. The patient was otherwise well and denied having any serious medical illnesses, though she was taking aspirin (325 mg/d) because of a remote transient ischemic attack. Findings from ophthalmoscopic examination demonstrated preretinal macular hemorrhage in a peculiar fingerprintlike configuration associated with cystoid macular edema and a mildly engorged retinal venous system (Figure 1). Optic nerve head drusen and peripapillary collateralization were also noted. Scattered drusen were present in the macular region, but subretinal fluid, exudation, hemorrhage, and lipid were absent. Results of funduscopic evaluation of the right eye demonstrated early age-related maculopathy without signs of neovascularization.
Sarraf D, Schwartz S. Peculiar Macular Hemorrhage. Arch Ophthalmol. 2000;118(2):296-297. doi:10.1001/archopht.118.2.296