FUNDUS PHOTOGRAPH   FLUORESCEIN ANGIOGRAM  
Photo reveals retinal mass OS   Fluorescein angiogram reveals subretinal hemorrhage OS

The fundus appearance OS is due to disciform scar with adjacent subretinal hemorrhage at its superior and inferior borders. The blood appears green-brown. No RPE-level detail (e.g., drusen) is evident due to the subretinal location of the blood.

   Fluorescein angiogram OS reveals normal retinal vasculature and blockage of underlying choroidal fluorescence due to subretinal blood *.
DIFFERENTIAL DIAGNOSIS: This case illustrates subretinal hemorrhage mimicking choroidal melanoma.
*
Fluorescein angiogram reveals subretinal hemorrhage OS
The blockage of underlying choroidal fluorescence on the fluorescein angiogram is due to subretinal blood.
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Please send comments to: Dr. Marco Zarbin at zarbin@umdnj.edu

 

This case appeared in the following article:
Hochman MA, Seery CM, and Zarbin MA. Pathophysiology and management of subretinal hemorrhage. Surv Ophthalmol 1997; 42(3):195-213.
Reprinted with permission of Survey of Ophthalmology

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