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May 1992

Subhyaloid Hemorrhage Illustrating a Mechanism of Macular Hole Formation-Reply

Author Affiliations

Morgantown, WV

Arch Ophthalmol. 1992;110(5):598. doi:10.1001/archopht.1992.01080170020008

In Reply.  —We thank Dr Foos for his helpful comments regarding our recent Photo Essay.Subhyaloid hemorrhage1 and preretinal hemorrhage2 are terms commonly used to describe such lesions. Neither term is optimal for identifying the ultrastructural location of the extravasated blood. The former is imprecise, and the latter is incorrect because the internal-limiting membrane is usually considered to be part of the retina. The anatomically (if not grammatically) correct subinternal limiting membrane hemorrhage is sometimes used as well,3 although it is rather cumbersome. As Dr Foos points out, sublaminar retinal hemorrhage or submembranous retinal hemorrhage might be preferable terms.Whichever descriptive term is used, we believe that our conclusion is correct, ie, that the foveal sparing in this case illustrates an anatomical feature that could be important in the pathogenesis of macular hole formation.

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