Chronical Submacular Hemorrhage in the Setting of Neovascular AMD

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    • By Rita Couceiro, MD, MS
      Co-author(s): Carlos Marques Neves, MD PhD, Hospital de Santa Maria, Lisboa, Portugal, Joaquim Prates Canelas, MD, Hospital de Santa Maria, Lisboa, Portugal
    • Uploaded on Mar 23, 2015.
    • Last modified by Caroline Bozell on Aug 7, 2015.
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    Aug 9, 2015
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    Appears in
    Miscellaneous
    Condition/keywords
    submacular hemorrhage, wet age-related macular degeneration (wet AMD), neovascular age-related macular degeneration (AMD)
    Imaging device
    Fundus camera
    Intraoperative fundus photograph
    Description
    An 80-year-old male, with a history of hypertension and high cholesterol, complained of acute and painless vision loss in his left eye (OS) in the previous 5 months. On observation best corrected visual acuity in OS was hand motion. A dense vitreous opacity in OS precluded fundus examination. Ocular ultrasound revealed vitreous hemorrhage and thickening of the macular area. The patient was submitted to pars plana vitrectomy, which disclosed a large submacular hemorrhage with chronical features and disciform scarring in the setting of neovascular AMD.

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