Sir,I read with interest the article titled, “Bilateral macular hemorrhage due to megaloblastic anemia: A rare case report” by Vaggu and Bhogadi.[1] In the absence of optical coherence tomography (OCT) images being provided in this report, I request further clarification on how the authors have labeled the bilateral macular hemorrhage as sub-internal limiting membrane (sub-ILM).The distinction between sub-ILM and subhyaloid hemorrhage is difficult to define clinically. Although glistening reflexes and surface striae may point toward the hemorrhage being sub-ILM, the reliability of ophthalmoscopy in locating the plane of hemorrhage has been challenged.[2] If the presence of the detached posterior hyaloid face in the area of the hemorrhage can be documented using ultrasonography or OCT, it suggests that the hemorrhage is sub-ILM and not subhyaloid.[3] If two layers are not picked up, the presence of a dome-shaped convex cavity on OCT, with a hyperreflective anterior layer corresponding to the ILM, suggests that the hemorrhage is sub-ILM.[4] Thus, the hemorrhage[1] should be referred to as “preretinal” or “premacular,” in the absence of evidence suggesting that it is sub-ILM.