Subretinal Hemorrhage From Choroidal Neovascularization: Fluorescein Angiographic Documentation

Verhoeff believed that the organization of prior subretinal hemorrhage resulted in new vessels invading the subpigment epithelial space from the choroid. 1 With the advent of fluorescein sodium angiography, however, Gass was able to document that subretinal neovascularization can occur in the absence of a preceding hemorrhage. 1 The proper sequence of choroidal neovascularization preceding a subretinal hemorrhage is now well established. 2 Despite recognizing the pathogenic mechanism, hemorrhage emanating from a choroidal neovascular frond has, to our knowledge, never been documented photographically. We recorded a subretinal hemorrhage occurring from choroidal subretinal neovascularization during fluorescein angiography. Report of a Case. —Fluorescein angiography was performed to evaluate a sensory retinal detachment associated with a pigmented subretinal scar in the left eye of a 71-year-old woman (Fig 1, left). The patient had not previously undergone fluorescein angiography, did not have a known bleeding diathesis, and was not taking any substance with a