This 65YO female has a fresh peripheral subretinal hemorrhage.
The subretinal blood often regresses spontaneously, as occurred in this patient (later images not shown).
Learning Points:
Peripheral exudative hemorrhagic chorioretinopathy (PEHCR) is essentially choroidal neovascularization occurring in the retinal periphery.
PEHCR can be mistaken for uveal melanoma because the dark subretinal blood can simulate a pigmented choroidal tumor.
PEHCR seems to share features with polypoidal choroidal vasculopathy.
Anti-VEGF therapy is helpful when needed. Patients can also develop a breakthrough vitreous hemorrhage, which also sometimes requires vitrectomy.
