Veronica A Kon Graversen1, Lee M Jampol, Travis Meredith, Maurice Landers, Jason Slakter, Alexander J Brucker, Maurice Rabb. 1. *Department of Ophthalmology, University of North Carolina at Chapel Hill, Chapel Hill, North Carolina; †Deceased; ‡Department of Ophthalmology, Feinberg School of Medicine, Northwestern University, Chicago, Illinois; §Vitreous-Retina-Macula Consultants of New York, New York, New York; and ¶Department of Ophthalmology, Scheie Eye Institute, Philadelphia, Pennsylvania.
Abstract
PURPOSE: To evaluate the possible etiologies of a hemorrhagic unilateral retinopathy in healthy patients. METHODS: Retrospective case series and review of the literature. All patients underwent a detailed ophthalmologic evaluation and analyses of their medical histories. RESULTS: Eleven eyes of 10 patients with unexplained unilateral, predominantly deep, intraretinal hemorrhages were identified. All patients were women. Mean age of the subjects was 48.4 years (range, 25-83 years). The main complaint at presentation was sudden visual loss, with visual acuity ranging from 20/20 to hand motion. The mean follow-up was 17 months, and the 9 eyes with follow-up showed spontaneous resolution of the hemorrhages and marked improvement of vision. There was no history of Valsalva maneuver or strenuous exercise. The patients were healthy at presentation and during follow-ups as long as 84 months. CONCLUSION: This series depicts the characteristics of a possible new entity with a review of the differential diagnosis. The visual outcome was excellent.
PURPOSE: To evaluate the possible etiologies of a hemorrhagic unilateral retinopathy in healthy patients. METHODS: Retrospective case series and review of the literature. All patients underwent a detailed ophthalmologic evaluation and analyses of their medical histories. RESULTS: Eleven eyes of 10 patients with unexplained unilateral, predominantly deep, intraretinal hemorrhages were identified. All patients were women. Mean age of the subjects was 48.4 years (range, 25-83 years). The main complaint at presentation was sudden visual loss, with visual acuity ranging from 20/20 to hand motion. The mean follow-up was 17 months, and the 9 eyes with follow-up showed spontaneous resolution of the hemorrhages and marked improvement of vision. There was no history of Valsalva maneuver or strenuous exercise. The patients were healthy at presentation and during follow-ups as long as 84 months. CONCLUSION: This series depicts the characteristics of a possible new entity with a review of the differential diagnosis. The visual outcome was excellent.
Authors: Ali Kord Valeshabad; Andrew W Francis; Vikram Setlur; Peter Chang; William F Mieler; Mahnaz Shahidi Journal: Optom Vis Sci Date: 2015-08 Impact factor: 1.973