Indian Journal of Ophthalmology (Jan 2024)

Characterization of retinal hemorrhages delimited by the internal limiting membrane

  • Anand Singh Brar,
  • Sivaranjan Ramachandran,
  • Brijesh Takkar,
  • Raja Narayanan,
  • Sohini Mandal,
  • Srikanta Kumar Padhy

DOI
https://doi.org/10.4103/IJO.IJO_266_23
Journal volume & issue
Vol. 72, no. 13
pp. 3 – 10

Abstract

Read online

Clinically, hemorrhages at the vitreoretinal interface have been termed as 'pre-retinal' in location. However, there is a careful distinction to be made between sub-hyaloid and sub-internal limiting membrane (ILM) planes of blood collection. In the past half-century, a body of literature has accrued on sub-internal limiting membrane hemorrhage. We characterize the etiopathological, clinical, anatomical, and imaging characteristics of this entity (often misconstrued as sub-hyaloid hemorrhage). Management decisions are briefly described, and a unifying term of sub-internal limiting membrane macular hemorrhage is proposed to aid in further research.

Keywords