This 47YO female presented with bilateral vision loss. She had a seizure 10 days prior, losing consciousness and hitting her head. Upon awakening, she had reduced vision in her right eye and complete central loss in her left. Vision was 20/60 OD and counting fingers at 3 feet OS. Head CT scanning was normal.
Triton color imaging shows deep radiating wedge-shaped retinal hemorrhages centered in each macula. Swept-source OCT shows that these hemorrhages are located primarily in the outer plexiform layer (OPL).
Learning Points:
Radiating deep macular hemorrhages are seen in multiple conditions, including Valsalva (likely this case) and trauma. Their unique radiating appearance is caused by blood accumulating in Henle’s layer.
Kon Graversen et al described hemorrhagic unilateral retinopathy, an idiopathic disorder with a similar appearance (Retina 2014;34:483-489).
