Skip to main content
SpringerLink
Log in

Solitary intraretinal macular hemorrhage

  • Published:
Graefe's Archive for Clinical and Experimental Ophthalmology Aims and scope Submit manuscript

Abstract

Thirty patients presented with a solitary intraretinal macular hemorrhage (SIMH) without clinical evidence of associated retinal or choroidal vascular disease. The hemorrhages originated from the perifoveal capillary network and often extended into the central fovea. They were solitary in all cases, usually small and situated beneath the internal limiting membrane. Fluorescein angiograms showed no abnormalities except for blockage of normal fluorescence of retinal and choroidal vessels underlying the hemorrhage. Resolution of the hemorrhage mostly occurred within 1–2 months, with complete recovery of visual acuity. Possible pathogenetic mechanisms such as clotting disorders or Valsalva maneuvers could be found in only a few cases, while in the majority of cases SIMH seemed to be idiopathic.

This is a preview of subscription content, log in via an institution to check access.

Access this article

Log in via an institution

Price excludes VAT (USA)
Tax calculation will be finalised during checkout.

Instant access to the full article PDF.

Similar content being viewed by others

References

  • Besio R, Caballero C, Meerhoff E, Schwarcz R (1979) Neonatal retinal hemorrhages and influence of perinatal factors. Am J Ophthalmol 87:74–76

    PubMed  Google Scholar 

  • Cagianut B, Werner H (1968) Zum Krankheitsbild der familiaren Tortuositas der kleinen Netzhautarterien mit Maculablutung. Klin Monatsbl Augenheilkd 153:533–542

    PubMed  Google Scholar 

  • Cibis GW, Watzke RC, Chua J (1975) Retinal hemorrhages in posterior vitreous detachment. Am J Ophthalmol 80:1043–1046

    PubMed  Google Scholar 

  • Duane TD (1972) Valsalva hemorrhagic retinopathy. Trans Am Ophthalmol Soc 70:298–313

    PubMed  Google Scholar 

  • Duke-Elder S, Dobree JH (1967) Diseases of the retina. In: System of ophthalmology, vol 10. CV Mosby, St. Louis, pp 137–150

    Google Scholar 

  • Gass JDM (1977) Stereoscopic atlas of macular diseases, 2nd edn. CV Mosby, St Louis, pp 320–321

    Google Scholar 

  • Giles CL (1960) Retinal hemorrhages in the newborn. Am J Ophthalmol 49:1005–1011

    PubMed  Google Scholar 

  • Goldberg MF, Pollack IP, Green WR (1972) Familial retinal arteriolar tortuosity with retinal hemorrhage. Am J Ophthalmol 73:183–191

    Google Scholar 

  • Kalina RE, Kaiser M (1972) Familial retinal hemorrhages. Am J Ophthalmol 74: 252–255

    PubMed  Google Scholar 

  • Kanski JJ (1975) Complications of acute posterior vitreous detachment. Am J Ophthalmol 80: 44–46

    PubMed  Google Scholar 

  • Kincaid MC, Green WR (1983) Ocular and orbital involvement in leukemia. Surv Ophthalmol 27:211–232

    Article  PubMed  Google Scholar 

  • Mortada A, Abboud I (1973) Retinal haemorrhages after prolonged use of salicylates. Br J Ophthalmol 57:199–200

    PubMed  Google Scholar 

  • Pitta CG, Steinert RF, Gragoudas ES, Regan CDJ (1980) Small unilateral foveal hemorrhages in young adults. Am J Ophthalmol 89:96–102

    PubMed  Google Scholar 

  • Pruett RC, Carvalho ACA, Trempe CL (1981) Microhemorrhagic maculopathy. Arch Ophthalmol 99:425–432

    PubMed  Google Scholar 

  • Raspiller A, Stehlin B, Galoisy C, Bowyer M (1975) Hémorrhagies maculaires spontanées de petites dimensions chez le sujet jeune. Bull Soc Ophtalmol Fr 75:463–466

    PubMed  Google Scholar 

  • Rennie D, Morrissey J (1975) Retinal changes in Himalayan climbers. Arch Ophthalmol 93:395–400

    PubMed  Google Scholar 

  • Rubenstein RA, Yanoff M, Albert DM (1968) Thrombocytopenia, anemia, and retinal hemorrhage. Am J Ophthalmol 65:435–439

    PubMed  Google Scholar 

  • Shults WT, Swan KC (1975) High altitude retinopathy in mountain climbers. Arch Ophthalmol 93:404–408

    PubMed  Google Scholar 

  • Spitznas M (1978) Makulablutung bei Dengue-Fieber. Klin Monatsbl Augenheilkd 172: 105–107

    PubMed  Google Scholar 

  • Svarc ED, Werner D (1977) Isolated retinal hemorrhages associated with oral contraceptives. Am J Ophthalmol 84:50–55

    PubMed  Google Scholar 

  • Vaiser A, Hutton WL, Marengo-Rowe AJ, Leveson JE, Snyder WB (1975) Retinal hemorrhage associated with thrombasthenia. Am J Ophthalmol 80:258–262

    PubMed  Google Scholar 

  • Vogt C, Greite JH, Hess J (1978) Netzhautblutungen bei Teilnehmern an Hochgebirgsexpeditionen. Klin Monatsbl Augenheilkd 172:770–775

    PubMed  Google Scholar 

  • Walsh FB, Hoyt WF (1969) Clinical neuro-ophthalmology, vol 3. Williams and Wilkins, Baltimore, pp 2436–2437

    Google Scholar 

  • Werner H, Gafner F (1960) Beitrag zur familiären Tortuositas der kleinen Netzhautarterien. Ophthalmologica 141:350–356

    Google Scholar 

  • Wiedman M (1975) High altitude retinal hemorrhage. Arch Ophthalmol 93:401–403

    PubMed  Google Scholar 

  • Wise GN, Dollery CT, Henkind P (1971) The retinal circulation. Harper & Row, New York, pp 168–169

    Google Scholar 

Download references

Author information

Authors and Affiliations

  1. University Eye Hospitals of Essen, Germany

    Elmar P. Messmer & Achim Wessing

  2. University Eye Hospitals of Erlangen-Nürnberg, Germany

    Klaus Ruprecht & Gottfried O. H. Naumann

Authors
  1. Elmar P. Messmer
    View author publications

    You can also search for this author in PubMed Google Scholar

  2. Achim Wessing
    View author publications

    You can also search for this author in PubMed Google Scholar

  3. Klaus Ruprecht
    View author publications

    You can also search for this author in PubMed Google Scholar

  4. Gottfried O. H. Naumann
    View author publications

    You can also search for this author in PubMed Google Scholar

Additional information

Dr. Messmer is presently a postdoctoral fellow at the Cullen Eye Institute, Baylor College of Medicine, Houston, Texas, USA

Rights and permissions

Reprints and permissions

About this article

Cite this article

Messmer, E.P., Wessing, A., Ruprecht, K. et al. Solitary intraretinal macular hemorrhage. Graefe's Arch Clin Exp Ophthalmol 222, 9–12 (1984). https://doi.org/10.1007/BF02133770

Download citation

  • Received:

  • Issue Date:

  • DOI: https://doi.org/10.1007/BF02133770

Keywords

Search

Navigation