title: Bullous hemorrhagic retinal detachment because of massive subretinal hemorrhage in patients with age-related macular degeneration.
abstract: OBJECTIVE
  The authors investigated the surgical outcomes of massive subretinal hemorrhage draining via a retinotomy procedure in bullous hemorrhagic retinal detachment (HRD).
  
  
  METHODS
  Clinical records of consecutive patients with age-related macular degeneration who underwent surgery for bullous HRD were reviewed. Outcomes included anatomical success, visual acuity, and postoperative complications.
  
  
  RESULTS
  Seventeen consecutive eyes of 17 patients were included in this series. Of the 17 eyes, 8 eyes had total HRD and 9 eyes had half total inferior HRD including the macula. The mean interval between initial symptom presentation and operation was 22.6 ± 11.7 days. All patients underwent pars plana vitrectomy and internal drainage of the subretinal hemorrhage through a posterior drainage retinotomy. The mean follow-up period was 37.1 months (range, 12-66 months). Finally, successful retinal reattachment was achieved in 15 of the 17 eyes (88.2%), but 2 remained nonprogressive localized inferior retinal detachment because of proliferative vitreoretinopathy. All preoperative visual acuities were hand movements or worse, and 10 eyes (58.8%) achieved a postoperative minimum functional vision of 20/1000 or better.
  
  
  CONCLUSIONS
  Successful retinal reattachment and achievement of minimum functional vision is possible after PPV and retinotomy with evacuation of a massive subretinal hemorrhage for bullous HRD secondary to age-related macular degeneration.
authors.affiliation: Department of Ophthalmology, College of Medicine, Soonchunhyang University, Seoul, Korea.
authors.forename: Youn Joo
authors.initials: YJ
authors.lastname: Choi
authors.forename: Joo
authors.initials: J
authors.lastname: Hyun
authors.forename: Kyung Seek
authors.initials: KS
authors.lastname: Choi
authors.forename: Mi Ri
authors.initials: MR
authors.lastname: Rhee
authors.forename: Sung Jin
authors.initials: SJ
authors.lastname: Lee
mesh_terms: D000368:Aged; D000369:Aged, 80 and over; D004322:Drainage / Q000379:methods*; D005260:Female; D005500:Follow-Up Studies; D006801:Humans; D008268:Macular Degeneration / Q000150:complications*; D008297:Male; D008875:Middle Aged; D011183:Postoperative Complications; D012163:Retinal Detachment / Q000209:etiology / Q000601:surgery*; D012166:Retinal Hemorrhage / Q000209:etiology / Q000601:surgery*; D012189:Retrospective Studies; D014792:Visual Acuity; D014821:Vitrectomy / Q000379:methods*