Abstract

Background

Pathologic myopia is a major cause of visual impairment and blindness.

Case presentation

We report a case of an immediate post partum macular subretinal bleeding observed in a highly myopic patient. A 30-years-old woman presented two days after childbirth for sudden loss of vision in her right eye. Multimodal imaging showed macular hemorrhage masking a subtle yellowish linear lesion corresponding to lacker crack. Due to the lack of evidence for choroidal neovascularization, a simple clinical and imaging monitoring was recommended. Six weeks later, we noted an improvement in her best-corrected visual acuity and a decreased in size of the macular hemorrhage.

Conclusions

This is the first case reporting a macular subretinal bleeding on macular lacquer cracks in a highly myopic patient in immediate post partum.

Valsalva maneuver associated with vaginal delivery could explain the occurrence of the hemorrhage associated with lacquer crack. However, natural history of pathological myopia could not be excluded.

Details

Title
Immediate post partum macular subretinal bleeding in a highly myopic patient: a case report
Author
Bitton, Karen  VIAFID ORCID Logo  ; J.-L. Bacquet; Amoroso, F; Mrejen, S; Paques, M; Souied, E H
Pages
1-5
Section
Case report
Publication year
2021
Publication date
2021
Publisher
BioMed Central
e-ISSN
14712415
Source type
Scholarly Journal
Language of publication
English
ProQuest document ID
2490884770
Copyright
© 2021. This work is licensed under http://creativecommons.org/licenses/by/4.0/ (the “License”). Notwithstanding the ProQuest Terms and Conditions, you may use this content in accordance with the terms of the License.