Vitreous hemorrhage as the presenting feature of peripheral exudative hemorrhagic chorioretinopathy in Indian eyes

• Main Author: Neha Goel
• Format: Article
• Language: English
• Published: Wolters Kluwer Medknow Publications 2019-01-01
• Series: Indian Journal of Ophthalmology
• Subjects: Hemorrhagic pigment epithelial detachment; pars plana vitrectomy; peripheral exudative hemorrhagic chorioretinopathy; sub-retinal hemorrhage; vitreous hemorrhage
• Online Access: http://www.ijo.in/article.asp?issn=0301-4738;year=2019;volume=67;issue=3;spage=419;epage=423;aulast=Goel
• ISSN: 0301-4738; 1998-3689

Five Indian patients presenting with unilateral vitreous hemorrhage (VH) underwent pars plana vitrectomy (PPV) and were found to have lesions suggestive of peripheral exudative hemorrhagic chorioretinopathy (PEHCR). All eyes had extensive sub-retinal hemorrhage; three also showed an elevated mass lesion. The temporal retina anterior to the equator was the most commonly affected site. Exudative manifestations were absent in all. No recurrences occurred over a mean follow-up of 17.5 months. Although PEHCR is reported to be rare in Asians, this series demonstrates that it can present as VH in Indians as well. Unless the macula has irreversible damage, a favorable outcome can be obtained with PPV alone.