Macular Degeneration

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Case 8-28* Subretinal Hemorrhage

Clinical Summary

A 78~year-old woman with age-related macular degeneration noted a black spot in her central vision four days earlier. Dilated fundus examination (A) revealed a dense, elevated subretinal hemorrhage in the central and superior macula, and soft drusen temporally.

Optical Coherence Tomography

A horizontal tomogram (13) acquired superior to fixation demonstrated a large area of retinal elevation corresponding to the hemorrhage. Moderate optical backscat-

ter was observed subretinallv from the blood and was si mi-

j lar in strength to the reflections from the sensory retinal tissue. Strong attenuation of the incident light shadowed the reflections from the retinal pigment epithelium and choroid below the hemorrhage.

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