[Results of fundus perimetry after resorbed premacular hemorrhages under the internal limiting membrane in 10 patients].
BACKGROUND
During their acute phase, premacular hemorrhages under the internal limiting membrane induce an absolute scotoma. It is generally suspected that extravasal blood has a toxic effect on the neuroretina. The objective of this study is to investigate whether one can indeed detect sensoric defects after resorbed hemorrhages under the internal limiting membrane.


METHODS
Our patient group consisted of 10 patients with resorbed premacular hemorrhages, which had been caused by either Vasalva-Manouver or arterial macroaneurysms. In order to avoid visual field defects due to other causes, patients with diabetes, retinal vein occlusion and glaucoma were excluded from this study. The investigation was carried out with the Scotometry Programme Vers. 2.01 of the Rodenstock Scanning Laser Ophthalmoscope. Furthermore, fundus photographs were taken.


RESULTS
Under condition of no pre-existing retinal pathologies, no scotomas could be revealed at the site of the preretinal hemorrhage after full resorption. Relative or absolute scotomas could only be found in cases of pre-existing epiretinal gliosis, pigmentepitheliumdefect, persistent subretinal hemorrhages or scars.


CONCLUSIONS
Since no sensoric defects of the retinal receptors could be detected, the hypothesis of the extravasal blood having a direct toxic effect on the neuroretina, could not be confirmed in this patient group.
Maár
N
N
Universität Wien, Klinik für Augenheilkunde und Optometrie, Währinger Gürtel 18-20, A-1080 Wien.
Tittl
M
M
Ergun
E
E
Stur
M
M
D000328:Adult; D000368:Aged; D005260:Female; D005654:Fundus Oculi; D006801:Humans; D008266:Macula Lutea; D008297:Male; D008875:Middle Aged; D009887:Ophthalmoscopy; D012166:Retinal Hemorrhage / Q000175:diagnosis* / Q000209:etiology; D012307:Risk Factors; D012607:Scotoma / Q000175:diagnosis; D014636:Valsalva Maneuver; D058609:Visual Field Tests