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February 1990

Subretinal Hemorrhage From Choroidal Neovascularization: Fluorescein Angiographic Documentation

Author Affiliations

Albany, NY; Syracuse, NY

Arch Ophthalmol. 1990;108(2):174-175. doi:10.1001/archopht.1990.01070040026013

Verhoeff believed that the organization of prior subretinal hemorrhage resulted in new vessels invading the subpigment epithelial space from the choroid.1 With the advent of fluorescein sodium angiography, however, Gass was able to document that subretinal neovascularization can occur in the absence of a preceding hemorrhage.1 The proper sequence of choroidal neovascularization preceding a subretinal hemorrhage is now well established.2 Despite recognizing the pathogenic mechanism, hemorrhage emanating from a choroidal neovascular frond has, to our knowledge, never been documented photographically. We recorded a subretinal hemorrhage occurring from choroidal subretinal neovascularization during fluorescein angiography.

Report of a Case.  —Fluorescein angiography was performed to evaluate a sensory retinal detachment associated with a pigmented subretinal scar in the left eye of a 71-year-old woman (Fig 1, left). The patient had not previously undergone fluorescein angiography, did not have a known bleeding diathesis, and was not taking any substance with a

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