Subretinal hemorrhages with or without choroidal neovascularization in the maculas of patients with pathologic myopia

  • Seiji Hayasaka
  • Masako Uchida
  • Tomoichi Setogawa
Clinical Investigations

Abstract

We examined 20 patients (24 eyes) who had refractive errors of — 8 diopters or more and subretinal hemorrhages at the initial visit. They were divided into two groups according to fluorescein angiographic findings: 15 eyes without choroidal neovascularization (CNV) and 9 eyes with CNV. Subretinal hemorrhage without CNV was frequent in patients aged 20–39 years (mean, 36.8 years). CNV was common in patients aged 60–79 years (mean, 61.0 years). No relationship was noted between refractive error and type of hemorrhage. In the eyes without CNV, the subretinal hemorrhages disappeared spontaneously after a few months. The visual acuity of these patients was variable at the initial visit (range, 0.01-0.8), and was unchanged or improved during the follow-up period. In the eyes with CNV, the visual acuity was less than 0.1 at the initial visit and was unchanged or worse during the follow-up period.

Preview

Unable to display preview. Download preview PDF.

Unable to display preview. Download preview PDF.

References

  1. 1.
    Avila MP, Weiter JJ, Jalkh AE, Trempe CL, Pruett RC, Schepens CL (1984) Natural history of choroidal neovascularization in degenerative myopia. Ophthalmology 91:1573–1581PubMedGoogle Scholar
  2. 2.
    Blach RK (1977) Degenerative myopia. In: Krill AE, Archer DB (eds) Krill's hereditary retinal and choroidal diseases, vol 2. Clinical characteristics. Harper and Row, Hagerstown, pp 911–937Google Scholar
  3. 3.
    Blacharski PA (1988) Pathologic progressive myopia. In: Newsome DA (ed) Retinal dystrophies and degenerations. Raven Press, New York, pp 257–269Google Scholar
  4. 4.
    Duke-Elder S (1970) Pathological myopia. In: Duke-Elder S (ed) System of ophthalmology, vol 5. Kimpton, London, pp 300–362Google Scholar
  5. 5.
    Gass JDM (1987) Myopic choroidal degeneration. In: Stereoscopic atlas of macular diseases, vol 1. Mosby, St. Louis, pp 110–113Google Scholar
  6. 6.
    Hampton GR, Kohen D, Bird AC (1983) Visual prognosis of disciform degeneration in myopia. Ophthalmology 90:923–926PubMedGoogle Scholar
  7. 7.
    Hayashi K, Uchida A, Fukushita K, Takizawa E, Tokoro T (1979) Macular hemorrhage in pathological myopia, report 1. Causative factors of macular hemorrhage. Folia Ophthalmol Jpn 30:1571–1576Google Scholar
  8. 8.
    Hayashi K, Uchida A, Fukushita K, Takizawa E, Tokoro T (1980) Macular hemorrhage in pathological myopia, report 2. The clinical features of macular hemorrhage without neovascular tissue. Folia Ophthalmol Jpn 31:459–467Google Scholar
  9. 9.
    Hotchkiss ML, Fine SL (1981) Pathologic myopia and choroidal neovascularization. Am J Ophthalmol 91:177–183PubMedGoogle Scholar
  10. 10.
    Klein RM, Curtin BJ (1975) Lacquer crack lesions in pathologic myopia. Am J Ophthalmol 79:386–392PubMedGoogle Scholar
  11. 11.
    Klein RM, Green S (1988) The development of lacquer cracks in pathologic myopia. Am J Ophthalmol 106:282–285PubMedGoogle Scholar
  12. 12.
    Tokoro T, Maruo T, Kanai J, Hayashi K (1987) Manual for diagnosis of pathologic myopia. Japanese Ministry of Health and Welfare, Tokyo, pp 1–14Google Scholar

Copyright information

© Springer-Verlag 1990

Authors and Affiliations

  • Seiji Hayasaka
    • 1
  • Masako Uchida
    • 1
  • Tomoichi Setogawa
    • 1
  1. 1.Department of OphthalmologyShimane Medical UniversityShimaneJapan

Personalised recommendations