Subretinal Hemorrhages in High Myopia.
- Author:
Kang Won CHO
1
;
Nam Soo KIM
;
Sung Chul LEE
Author Information
1. Department of Ophthalmology, Yonsei University, College of Medicine, Seoul, Korea.
- Publication Type:Original Article
- Keywords:
Choroidal neovasculization;
Fluorescein angiography;
High myopia;
Subretinal hemorrhage
- MeSH:
Angiography;
Choroid;
Choroid Hemorrhage;
Choroidal Neovascularization;
Fluorescein;
Fluorescein Angiography;
Follow-Up Studies;
Hemorrhage*;
Humans;
Lacquer;
Myopia*;
Prognosis;
Refractive Errors;
Visual Acuity
- From:Journal of the Korean Ophthalmological Society
1996;37(4):596-601
- CountryRepublic of Korea
- Language:Korean
-
Abstract:
Ocular changes such as crescents, posterior staphyloma, retinochoroidal degeneration, lacquer cracks and subretinal or choroidal hemorrhage are common In myopia. We examined 13 patients(13 eyes) who had refractive errors of -6.0 Diopter or more and subretinal hemorrhages at initial visit. According to fluorescein angiographic finding, subretinal hemorrhages in high myopia were divided into two groups: 6 eyes without choroidal neovascularization(CNV) and 7 eyes with choroidal neovascularization. Subretinal hemorrhage without choroidal neovascularization was frequent in patients aged 15-32 years(mean, 23.7 years) and choroidal neovascularization was common in patients aged 34-60 years(mean 47.6 years). In the eyes without choroidal neovascularization, the subretinal hemorrhage disappeared spontaneously after a few months and the visual acuity of these patients was variable at the initial visit(range, 5/200-20/30), and was unchanged or improved during the follow-up period. In the eyes with choroidal neovascularization, the visual acuity was less than 0.1 at the initial visit, except 2 cases, and was unchanged or worsened during the follow-up peroid. It will be helpful to divide the high myopia with subretinal hemorrhage into with or without choroidal neovasculrization according to the flourescein angiography to assess the prognosis.
