PMC4376919_01
Preretinal hemorrhage in an eye that exhibited Valsalva-like retinopathy. a Fundus photograph shows the hemorrhage over the central section of the eye. b Optical coherence tomography image shows the preretinal hemorrhage that was located under the ILM. The posterior hyaloid membrane was demonstrated above the preretinal hemorrhage (arrows). c Fluorescein angiography. d Indocyanine green angiography. No visible retinal vascular abnormality was observed; however, the posterior pole was veiled due to the preretinal hemorrhage.
cop-0006-0088-g01.jpg
PMC4376919_01_cop-0006-0088-g01.jpg
F1
A left fundus examination showed a dense preretinal hemorrhage at the posterior pole (fig. 1a). The preretinal hemorrhage appeared to be located under the internal limiting membrane (ILM) due to the reflection of the surface of the preretinal hemorrhage, and this was confirmed by optical coherence tomography (fig. 1b). Fluorescein and indocyanine green angiography showed no retinal vascular abnormality, although the posterior pole was veiled by the preretinal hemorrhage (fig. 1c, d).
Retinopathy was resolved with a membranotomy. a Fundus photograph taken 2 days after membranotomy. b Optical coherence tomography image shows the posterior hyaloid membrane (arrows) and the remaining ILM elevation. c Fluorescein angiography. d Indocyanine green angiography. No retinal vascular abnormality was demonstrated.
cop-0006-0088-g02.jpg
PMC4376919_01_cop-0006-0088-g02.jpg
F2
Two days after the treatment, the best-corrected visual acuity improved to 1.0, but a small amount of the vitreous hemorrhage and residual preretinal hemorrhage were observed at the posterior pole (fig. 2a). The optical coherence tomography image showed remaining ILM elevation (fig. 2b). One month after the treatment, we performed another fluorescein and indocyanine green angiography, and it demonstrated no retinal vascular abnormalities in the macular area (fig. 2c, d).