Abstract
Background
Peripheral exudative hemorrhagic chorioretinopathy (PEHCR) is a rare condition characterized by either subretinal exudates or subretinal hemorrhage outside the macula. The objective of this case report is to describe PEHCR lesions in Korean patients.
Cases
Five eyes of four patients are reviewed.
Observations
All cases were characterized by either peripheral subretinal exudates or hemorrhage with age-related degeneration. Four of the lesions appeared as subretinal masses, and the other manifested as a large retinal pigment epithelial alteration combined with subretinal exudates and subretinal fibrosis. Two of the patients evidenced serious visual impairment induced by massive subretinal hemorrhage extending to the fovea. Visual acuity in the other three eyes studied remained stable.
Conclusion
PEHCR appears to be a variant of age-related macular degeneration that occurs in Asians. Although PEHCR is known to be self-limiting, it frequently causes subfoveal extensions of subretinal blood and fluid.
Similar content being viewed by others
References
Annesley WH Jr. Peripheral exudative hemorrhagic chorioretinopathy. Trans Am Ophthalmol Soc 1980;78:321–364.
Bloome MA, Ruiz RS. Massive spontaneous subretinal hemorrhage. Am J Ophthalmol 1978;86:630–637.
Reese AB, Jones IS. Hematomas under the retinal pigment epithelium. Am J Ophthalmol 1962;53:897–910.
Silva VB, Brockhurst RJ. Hemorrhagic detachment of the peripheral retinal pigment epithelium. Arch Ophthalmol 1976;94:1295–1300.
Shields CL, Salazar PF, Mashayekhi A, Shields JA. Peripheral exudative hemorrhagic chorioretinopathy simulating choroidal melanoma in 173 eyes. Ophthalmology 2009;116:529–535.
Collaer N, James C. Peripheral exudative and hemorrhagic chorio-retinopathy ... the peripheral form of age-related macular degeneration? Report on 2 cases. Bull Soc Belge Ophtalmol 2007: 23–26.
Tsui I, Jain A, Shah S, Schwartz SD, McCannel TA. Ultra widefield imaging of peripheral exudative hemorrhagic chorioretinopathy. Semin Ophthalmol 2009;24:25–28.
Author information
Authors and Affiliations
Corresponding author
About this article
Cite this article
Kim, Y.T., Kang, S.W., Lee, JH. et al. Peripheral exudative hemorrhagic chorioretinopathy in Korean patients. Jpn J Ophthalmol 54, 227–231 (2010). https://doi.org/10.1007/s10384-009-0794-0
Received:
Accepted:
Published:
Issue Date:
DOI: https://doi.org/10.1007/s10384-009-0794-0