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Spontane Makulablutung

Subhyaloidal/Sub-Membrana limitans interna (MLI)

Spontaneous macula hemorrhage

Subhyaloid/sub-inner limiting membrane (ILM)

  • Kasuistiken
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Zusammenfassung

In der Kasuistik werden 2 Patienten mit einer spontanen präretinalen Makulablutung unter die hintere Glaskörpergrenzfläche und die Membrana limitans interna beschrieben, wie sie typisch für eine Valsalva-Retinopathie ist. Mittels der ophthalmoskopischen Befunde sowie der optischen Kohärenztomographie und der Fluoreszeinangiographie werden die diagnostischen Charakteristika aufgezeigt. Zur Verbesserung der deutlich reduzierten Sehschärfe führten die spontane Resorption und zum anderen eine Pars-plana-Vitrektomie. Ätiologie, Diagnostik und Therapieoptionen werden anhand der Literatur erörtert.

Abstract

This case study describes the clinical findings of two patients with spontaneous subhyaloid and sub-inner limiting membrane preretinal macular hemorrhage including ophthalmoscopy, optical coherence tomography (OCT) and fluorescein angiography (FAG), which are typical for a Valsalva retinopathy. The improvement of the decreased visual acuity was achieved in one case by spontaneous resorption and in the other case by pars plana vitrectomy. The etiology, diagnostic criteria and therapeutic options are discussed.

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  1. Augenklinik, Albert-Ludwigs-Universität Freiburg i. Br., Killianstr. 5, 79106, Freiburg/Br, Deutschland

    D. Völcker, B. Junker & L.L Hansen

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  1. D. Völcker
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  2. B. Junker
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  3. L.L Hansen
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Correspondence to D. Völcker.

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Völcker, D., Junker, B. & Hansen, L. Spontane Makulablutung. Ophthalmologe 109, 702–706 (2012). https://doi.org/10.1007/s00347-012-2539-6

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  • DOI: https://doi.org/10.1007/s00347-012-2539-6

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