+ Site Statistics
+ Search Articles
+ PDF Full Text Service
How our service works
Request PDF Full Text
+ Follow Us
Follow on Facebook
Follow on Twitter
Follow on LinkedIn
+ Subscribe to Site Feeds
Most Shared
PDF Full Text
+ Translate
+ Recently Requested

Spontaneous subretinal isolated hematomas or associated with macular degeneration: a retrospective review of 95 cases

Spontaneous subretinal isolated hematomas or associated with macular degeneration: a retrospective review of 95 cases

Journal Francais d'Ophtalmologie 32(9): 621-628

Diagnosis of choroidal hematoma, either spontaneous or associated with age-related macular degeneration, is clinical. In some cases of expansive or posterior lesion, hematoma may be misdiagnosed as a tumor. MRI and color Doppler imaging (CDI) are important in ruling out uveal melanoma in these cases. We reviewed the clinical, MRI, and ultrasonographic characteristics of 95 patients sent to the Curie Institute for suspected uveal melanoma between 1998 and 2006, whose final diagnosis was a choroidal hematoma. Imaging differences with melanomas are discussed. A total of 95 patients with a diagnosis of hematoma were seen; the age varied from 54 to 92 years with a median age of 77 years; there was a history of macular degeneration in 27 cases and 11 patients were taking an anticoagulant. Intravitreous hemorrhage was noted in 18 cases and the lesion was located in the posterior pole in 28 cases. The thickness of the lesions measured by B scan ultrasonography varied between 1 and 7.8mm, with a mean thickness of 2.86mm. MRI was performed in 27 cases and CDI in ten cases. On CDI, hematomas appeared as linear or regular bulging lesions with no intralesional blood flow. On MRI, hematomas appeared as a high-intensity signal on T1-weighted images, heterogeneous on T2-weigted images in relation to the progression of the clot, but no contrast enhancement was noted inside the lesion. Follow-up examinations showed the progressive involvement of the clot and delayed decreasing size of the lesion. The diagnosis of choroidal hematoma is usually made by fundus examination. In some posterior locations with pseudo-tumoral appearance, CDI and MRI are useful to rule out a uveal tumor.

Please choose payment method:

(PDF emailed within 0-6 h: $19.90)

Accession: 055892122

Download citation: RISBibTeXText

PMID: 19854540

DOI: 10.1016/j.jfo.2009.09.007

Related references

Subretinal hemorrhage after intravitreal injection of anti-VEGF for age-related macular degeneration: a retrospective study. Journal Francais d'Ophtalmologie 32(5): 309-313, 2009

Krypton laser in the treatment of subretinal neovessels in senile macular degeneration. Apropos of 60 cases. Bulletin des Societes d'Ophtalmologie de France 84(6-7): 857-860, 1984

Argon laser photocoagulation of subretinal neovascularization in senile macular degeneration. Results of a randomized study of 60 cases. Bulletins et Memoires de la Societe Francaise d'Ophtalmologie 94: 149-154, 1982

Photocoagulation with krypton laser of subretinal vessels in macular degeneration related to age. Long-term results (apropos of 100 cases). Bulletin des Societes d'Ophtalmologie de France 87(2): 257-8 261-2, 1987

Combined subretinal and sub-retinal pigment epithelium neovascular membranes in age-related macular degeneration: a clinicopathologic study of six cases. Ophthalmic Surgery and Lasers 28(8): 645-652, 1997

Natural history of macular subretinal hemorrhage in age-related macular degeneration. Ophthalmologica. Journal International D'ophtalmologie. International Journal of Ophthalmology. Zeitschrift für Augenheilkunde 213(2): 97-102, 1999

The Association Between Subretinal Drusenoid Deposits in Older Adults in Normal Macular Health and Incident Age-Related Macular Degeneration. Investigative Ophthalmology and Visual Science 57(2): 739-745, 2016

Spontaneous intraparenchymatous hematomas. Review of 200 cases. Revista Espanola de Oto-Neuro-Oftalmologia Y Neurocirugia 37(206): 75-76, 1979

Apparently isolated spontaneous hematomas of the brain stem seven cases explored by ct and mri. Journal of Neuroradiology 16(1): 38-47, 1989

Spontaneous spinal epidural hematomas: review of 8 cases. Neurologia 18(7): 357-363, 2003

Management of spontaneous intra cerebral hematomas a review of 41 cases. Neurochirurgia: 351, 1981

Retrospective Review of Lucentis "treat and Extend" Patterns and Outcomes in Age-Related Macular Degeneration. Retina 36(2): 272-278, 2016

Spontaneous cerebellar hematomas a report of 3 operated cases and review of the literature. Johns Hopkins Medical Journal 122(5): 319-327, 1968

Spontaneous intraspinal epidural hematomas--report of 2 cases and review of the literature. European Neurology 43(4): 244-246, 2000

Spontaneous cerebellar hematomas. A report of three operated cases and review of the literature. Johns Hopkins Medical Journal 122(5): 319-328, 1968