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Taiwan J Ophthalmol. 2016 Jul-Sep;6(3):136-140. doi: 10.1016/j.tjo.2016.05.007. Epub 2016 Jun 24.

Clinical characteristics and visual outcome of macular hemorrhage in pathological myopia with or without choroidal neovascularization.

Taiwan journal of ophthalmology

Kuei-Jung Chang, Cheng-Kuo Cheng, Chi-Hsien Peng

Affiliations

  1. Department of Ophthalmology, Shin Kong Wu Ho-Su Memorial Hospital, Taipei, Taiwan.
  2. School of Medicine, Catholic Fu-Jen University, New Taipei City, Taiwan.
  3. School of Medicine, National Taiwan University, Taipei, Taiwan.

PMID: 29018729 PMCID: PMC5525620 DOI: 10.1016/j.tjo.2016.05.007

Abstract

BACKGROUND/PURPOSE: This study aims to evaluate the clinical characteristics and visual outcome of macular hemorrhage in pathological myopia with or without choroidal neovascularization.

METHODS: We conducted a retrospective study of 55 patients with macular coin hemorrhage who were followed for at least 3 months from January 1997 to December 2013 at Shin Kong Wu Ho-Su Memorial Hospital (Taipei, Taiwan). All patients were evaluated using fluorescein angiography and optical coherence tomography for the detection of choroidal neovascularization (CNV). We also recorded clinical characteristics such as age, sex, refractory error, and myopic fundus, to determine the relationship between CNV and non-CNV associated macular hemorrhage.

RESULTS: A total of 55 patients (30 females, 54.55%) were reviewed. The mean age was 39.7 years old. The CNV group was found to be significantly older than the non-CNV group (

CONCLUSION: Age significantly correlated to the CNV formation in high myopia with macular hemorrhage. Favorable visual outcomes were found in pathological myopic macular hemorrhage either in the anti-VEGF treated, CNV associated group or in the untreated, non-CNV associated group.

Keywords: Fuchs’ spot; anti-VEGF; choroidal neovascularization; macular hemorrhage; pathologic myopia

Conflict of interest statement

Conflicts of interest: All contributing authors declare no conflicts of interest.

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