title: Management of breakthrough vitreous hemorrhage from presumed extramacular subretinal neovascularization.
abstract: Three patients developed vitreous hemorrhage secondary to breakthrough bleeding from presumed extramacular subretinal neovascularization. In one patient, the vitreous hemorrhage cleared spontaneously. In two other patients, trans-pars plana vitrectomy was performed. All patients regained 20/30 vision or better. Residual peripheral retinal pigment epithelial atrophy, organized subretinal hemorrhage, and/or subretinal fibrous membranes were present in all patients. A definite extramacular subretinal neovascular membrane was identified in one patient. Ocular diseases associated with subretinal neovascularization are tabulated. Indications for trans-pars plana vitrectomy in patients with breakthrough vitreous hemorrhage secondary to presumed extramacular subretinal neovascularization are proposed.
mesh_terms: D000328:Adult; D000368:Aged; D005128:Eye Diseases / Q000601:surgery; D005260:Female; D006801:Humans; D008875:Middle Aged; D009389:Neovascularization, Pathologic; D012164:Retinal Diseases / Q000473:pathology / Q000601:surgery*; D012166:Retinal Hemorrhage / Q000601:surgery*; D012171:Retinal Vessels / Q000473:pathology*; D014822:Vitreous Body / Q000601:surgery