The Retina Reference

Pre- and Sub-Retinal Peripapillary Hemorrhage Associated with Posterior Vitreous Detachment

These fundus photographs were taken from a 62-year-old woman with a rare complication following a post vitreous detachment (PVD). She suffered a pre- and sub-retinal peripapillary hemorrhage caused by avulsed capillaries when the vitreous gel separated from the optic disc. The green arrow on the February fundus highlights preretinal hemorrhaging inside the optic disc cup that was reabsorbed a month later. One can tell that the blood is preretinal because it obscures underlying optic disc vessels. The teal arrow on the March fundus highlights an area of dehemoglobinized subretinal blood that has a brownish appearance. One can tell that the blood is subretinal because overlying retinal vessels are evident. The hemorrhaging is asymptomatic and the patient saw 20/20 with her right eye in both visits.