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Intrapapillary hemorrhage with concurrent peripapillary and vitreous hemorrhage in two healthy young patients

 In Hee Moon  ;  Sung Chul Lee  ;  Min Kim 
 BMC Ophthalmology, Vol.18(1) : 172, 2018 
Journal Title
 BMC Ophthalmology 
Issue Date
Intrapapillary hemorrhage ; Myopia ; Optic disc ; Peripapillary subretinal hemorrhage
BACKGROUND: Cases of intrapapillary hemorrhage with adjacent peripapillary subretinal hemorrhage usually appear in myopic eyes with tilted optic discs, can improve without any specific treatment, and very rarely recur. But there has been no report of the use of advanced multimodal imaging such as spectral domain optical coherence tomography. We describe two rare cases of intrapapillary hemorrhage with adjacent peripapillary subretinal hemorrhage in an 11-year-old female and a 16-year-old male. CASE PRESENTATION: An 11-year-old female with no past history presented with floaters in her right eye. Her BCVA (best-corrected visual acuity) by the Snellen was 20/20. Fundus examination, optical coherence tomography (OCT) revealed intrapapillary hemorrhage, peripapillary subretinal hemorrhage. After 3 weeks, all hemorrhage was resolved. Similarly, a 16-year-old male with no past history presented with blurry vision, black filamentous floaters. His BCVA was 20/20 in both eyes. Fundus examination showed intrapapillary hemorrhage, peripapillary subretinal hemorrhage while OCT revealed peripapillary edema in his right eye. Multimodal imaging did not reveal any presence of optic disc drusen. After 4 weeks of observation, the hemorrhage resolved. Cases of intrapapillary hemorrhage with peripapillary subretinal hemorrhage have rarely been reported. CONCLUSIONS: This condition generally affects monocularly, in myopic eyes with tilted discs. Despite an unknown cause, the hemorrhages spontaneously resolved without any treatment. Consistent with the good visual prognosis reported previously, the vision, optic nerve function of the two patients were preserved. It should be differentiated from other causes of subretinal hemorrhage.
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1. College of Medicine (의과대학) > Dept. of Ophthalmology (안과학교실) > 1. Journal Papers
Yonsei Authors
Kim, Min(김민) ORCID logo https://orcid.org/0000-0003-1873-6959
Moon, In Hee(문인희)
Lee, Sung Chul(이성철) ORCID logo https://orcid.org/0000-0001-9438-2385
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