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Demographic profile, clinical features, and outcome of peripapillary subretinal hemorrhage: An observational study

BMC Ophthalmology Apr 23, 2020

Zou M, Zhang Y, Huang X, et al. - Researchers conducted this prospective observational study to assess the etiology, demographic profile, clinical features, and outcomes in individuals with peripapillary subretinal hemorrhage (PSH). The case series involved 37 consecutive patients (mean age was 20 years) with 38 affected eyes. According to findings, PSH syndrome is more common in younger myopic-eyed patients who have tilted optic discs. It shows variable clinical manifestations like PSH alone, PSH with intrapapillary hemorrhage, and PSH with intrapapillary bleeding accompanying vitreous hemorrhage. PSH, in fact, is not a single entity. The authors postulate that its causes can involve sudden myopic eye movement with elevated optic discs. PSH can be easily misdiagnosed as optic disc edema, papillitis, buried optic nerve drusen, or other phenomena. The difficulty for clinicians is identifying the PSH characteristics and separating this disorder from others with similar characteristics.

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