Abstract
Thirty patients presented with a solitary intraretinal macular hemorrhage (SIMH) without clinical evidence of associated retinal or choroidal vascular disease. The hemorrhages originated from the perifoveal capillary network and often extended into the central fovea. They were solitary in all cases, usually small and situated beneath the internal limiting membrane. Fluorescein angiograms showed no abnormalities except for blockage of normal fluorescence of retinal and choroidal vessels underlying the hemorrhage. Resolution of the hemorrhage mostly occurred within 1–2 months, with complete recovery of visual acuity. Possible pathogenetic mechanisms such as clotting disorders or Valsalva maneuvers could be found in only a few cases, while in the majority of cases SIMH seemed to be idiopathic.
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Besio R, Caballero C, Meerhoff E, Schwarcz R (1979) Neonatal retinal hemorrhages and influence of perinatal factors. Am J Ophthalmol 87:74–76
Cagianut B, Werner H (1968) Zum Krankheitsbild der familiaren Tortuositas der kleinen Netzhautarterien mit Maculablutung. Klin Monatsbl Augenheilkd 153:533–542
Cibis GW, Watzke RC, Chua J (1975) Retinal hemorrhages in posterior vitreous detachment. Am J Ophthalmol 80:1043–1046
Duane TD (1972) Valsalva hemorrhagic retinopathy. Trans Am Ophthalmol Soc 70:298–313
Duke-Elder S, Dobree JH (1967) Diseases of the retina. In: System of ophthalmology, vol 10. CV Mosby, St. Louis, pp 137–150
Gass JDM (1977) Stereoscopic atlas of macular diseases, 2nd edn. CV Mosby, St Louis, pp 320–321
Giles CL (1960) Retinal hemorrhages in the newborn. Am J Ophthalmol 49:1005–1011
Goldberg MF, Pollack IP, Green WR (1972) Familial retinal arteriolar tortuosity with retinal hemorrhage. Am J Ophthalmol 73:183–191
Kalina RE, Kaiser M (1972) Familial retinal hemorrhages. Am J Ophthalmol 74: 252–255
Kanski JJ (1975) Complications of acute posterior vitreous detachment. Am J Ophthalmol 80: 44–46
Kincaid MC, Green WR (1983) Ocular and orbital involvement in leukemia. Surv Ophthalmol 27:211–232
Mortada A, Abboud I (1973) Retinal haemorrhages after prolonged use of salicylates. Br J Ophthalmol 57:199–200
Pitta CG, Steinert RF, Gragoudas ES, Regan CDJ (1980) Small unilateral foveal hemorrhages in young adults. Am J Ophthalmol 89:96–102
Pruett RC, Carvalho ACA, Trempe CL (1981) Microhemorrhagic maculopathy. Arch Ophthalmol 99:425–432
Raspiller A, Stehlin B, Galoisy C, Bowyer M (1975) Hémorrhagies maculaires spontanées de petites dimensions chez le sujet jeune. Bull Soc Ophtalmol Fr 75:463–466
Rennie D, Morrissey J (1975) Retinal changes in Himalayan climbers. Arch Ophthalmol 93:395–400
Rubenstein RA, Yanoff M, Albert DM (1968) Thrombocytopenia, anemia, and retinal hemorrhage. Am J Ophthalmol 65:435–439
Shults WT, Swan KC (1975) High altitude retinopathy in mountain climbers. Arch Ophthalmol 93:404–408
Spitznas M (1978) Makulablutung bei Dengue-Fieber. Klin Monatsbl Augenheilkd 172: 105–107
Svarc ED, Werner D (1977) Isolated retinal hemorrhages associated with oral contraceptives. Am J Ophthalmol 84:50–55
Vaiser A, Hutton WL, Marengo-Rowe AJ, Leveson JE, Snyder WB (1975) Retinal hemorrhage associated with thrombasthenia. Am J Ophthalmol 80:258–262
Vogt C, Greite JH, Hess J (1978) Netzhautblutungen bei Teilnehmern an Hochgebirgsexpeditionen. Klin Monatsbl Augenheilkd 172:770–775
Walsh FB, Hoyt WF (1969) Clinical neuro-ophthalmology, vol 3. Williams and Wilkins, Baltimore, pp 2436–2437
Werner H, Gafner F (1960) Beitrag zur familiären Tortuositas der kleinen Netzhautarterien. Ophthalmologica 141:350–356
Wiedman M (1975) High altitude retinal hemorrhage. Arch Ophthalmol 93:401–403
Wise GN, Dollery CT, Henkind P (1971) The retinal circulation. Harper & Row, New York, pp 168–169
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Dr. Messmer is presently a postdoctoral fellow at the Cullen Eye Institute, Baylor College of Medicine, Houston, Texas, USA
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Messmer, E.P., Wessing, A., Ruprecht, K. et al. Solitary intraretinal macular hemorrhage. Graefe's Arch Clin Exp Ophthalmol 222, 9–12 (1984). https://doi.org/10.1007/BF02133770
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DOI: https://doi.org/10.1007/BF02133770