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Dot blot hemorrhages12/18/2022 They range from the smallest dot and blot hemorrhage to massive sub-hyaloid hemorrhage. Retinal hemorrhages are an important ophthalmic diagnostic sign for an underlying systemic vascular disorder. Explain the role of an interprofessional team and how coordination is required with providers to manage the systemic disorders and with retinal surgeons to manage complications arising from the retinal hemorrhages.Summarize the different diagnostic methods for evaluating retinal hemorrhages.Review the etiopathogenesis of retinal hemorrhages.Identify the different types of retinal hemorrhages.This activity highlights the importance of an interprofessional team in the evaluation and treatment of retinal hemorrhages. A detailed slit-lamp examination with fundus photography and an optical coherence tomography (OCT) scan is essential to diagnose the cause and help in deciding the various treatment options to prevent vision loss. The extent, depth, and pattern of distribution of the hemorrhages give us a clue as to what might be the underlying cause. Retinal hemorrhages give a clue to an underlying systemic disorder or an uncontrolled ocular disorder. Nova Southeastern University, Davie, Florida, USARetinal hemorrhages are a common clinical manifestation in patients visiting an eye clinic. Peripheral Retinal Hemorrhages - When it's not Ocular Ischemic Syndrome Clinicians should be aware of this rare condition and its unique clinical presentation. PEHCR is a rare, but symmetrical retinal degeneration that may present with isolated subretinal hemorrhages in the peripheral retina. Despite the low prevalence (2,100 people affected each year), clinicians usually suspect OIS when they identify midperipheral and peripheral retinal hemorrhages. Due to the overall clinical picture, we asked the patient to seek consultation with a retinologist for fluoresecein angiography (IVFA), optical coherence tomography (OCT) and to determine if treatment with anti-VEGF agents was deemed necessary. DFE of the periphery revealed a subretinal hemorrhage and scar due to a resolved subretinal hemorrhage OD and pre-retinal hemorrhage and scar due to a resolved subretinal hemorrhage OS. DFE revealed macula geographic atrophy and isolated, midperipheral dot and blot hemorrhages OU. A 79-year old white female presented with complaints of difficulty reading up close and seeing faces at intermediate and far distances. Peripheral exudative hemorrhagic chorioretinopathy (PEHCR) is an uncommon, but symmetrical peripheral retinal degeneration that may vary in presentation from peripheral retinal pigment epithelial mottling, subretinal fluid or hemorrhage to vitreous hemorrhages. Without anterior segment findings, a diagnosis of OIS is unlikely. The clinical presentation of OIS includes anterior and posterior segments findings, such as corneal edema, uveitis, hypotony, rubeosis and midperipheral dot and blot hemorrhages. Ocular Ischemic Syndrome (OIS) is usually the initial differential diagnosis when retinal hemorrhages are identified in the midperipheral or peripheral retina.
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