Ophthalmology in China

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Spontaneous peripapillary subretinal hemorrhage in 18 children

GUO Yin1, LIU Li-juan2, LV Yan-yun1, TANG Ping1, WU Min1, FENG Yi1   

  1. 1. Tongren Eye Care Center, Beijing Tongren Hospital, Capital Medical University, Beijing 100730, China; 2. Beijing Institute of Ophthalmology, Beijing Tongren Eye Center, Beijing Key Laboratory of Ophthalmology and Visual Sciences, Beijing Tongren Hospital, Capital Medical University, Beijing 100005, China
  • Received:2018-09-17 Online:2019-09-25 Published:2019-09-24
  • Contact: LIU Li-juan, Email: lijuan_l@aliyun.com


Objective To summarize the clinical characteristics of spontaneous peripapillary subretinal hemorrhage (PSH) in 18 children. Design Retrospective case series. Participants 18 patients (18 eyes) with peripapillary subretinal hemorrhage from Tongren Eye Care Center from July to August 2017 were included. The age of the participants ranged from 9~16 years (mean 12.8±1.9 years). 11 cases were boys (61.1%) and 7 cases were girls (38.9%). Methods We reviewed the clinical data including the refractive error, visual acuity and color fundus examination, and some parameters of optic disc were measured. Main Outcome Measures The location, the morphology of the hemorrhage and optic disc. Results All the participants were myopic. Mean spherical equivalent (SE) was -3.42±1.54 D (range: -6.25 D~-0.63 D) in PSH eyes, and -3.57±1.93 D (range: -8.00D~0.00 D) in fellow eyes (P=0.39). All children had isolated, monocular, nasal or inferionasal peripapillary subretinal hemorrhage, a crowded-tilted optic disc and parapapillary atrophy. Optic ovality was 1.43±0.19 in PSH eyes, and 1.38±0.22 in fellow eyes which was not significantly different, but higher than the control group (1.23±0.08, P<0.01). Conclusion We summarized the clinical characteristics of peripapillary subretinal hemorrhages in children. All the patients were myopic and the hemorrhages primarily occured at nasal and appeared oval shape. PSH patients have the typical fundus characteristic of myopia, such as tilted optic disc and elevated nasal edge. (Ophthalmol CHN, 2019, 28: 364-367)

Key words: peripapillary subretinal hemorrhages, tilted optic disc, children