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Henle fibre layer haemorrhage: clinical features and pathogenesis.
Baumal, Caroline R; Sarraf, David; Bryant, Tara; Gui, Wei; Muakkassa, Nora; Pichi, Francesco; Querques, Giuseppe; Choudhry, Netan; Teke, Mehmet Yasin; Govetto, Andrea; Invernizzi, Alessandro; Eliott, Dean; Gaudric, Alain; Cunha de Souza, Eduardo; Naysan, Jonathan; Lembo, Andrea; Lee, Grace C; Freund, K Bailey.
Afiliación
  • Baumal CR; Ophthalmology, New England Eye Center, Boston, Massachusetts, USA cbaumal@gmail.com.
  • Sarraf D; Retina Department, Jules Stein Eye Institute, UCLA, Los Angeles, California, USA.
  • Bryant T; Ophthalmology, New England Eye Center, Boston, Massachusetts, USA.
  • Gui W; Retina Department, Jules Stein Eye Institute, UCLA, Los Angeles, California, USA.
  • Muakkassa N; Ophthalmology, New England Eye Center, Boston, Massachusetts, USA.
  • Pichi F; University Eye Clinic, San Giuseppe Hospital, Milan, Italy.
  • Querques G; Ophthalmology, Ospedale San Raffaele, Milano, Italy.
  • Choudhry N; Vitreoretinal Surgery, Herzig Eye Institute, Toronto, Ontario, Canada.
  • Teke MY; Department of Ophthalmology, Ulucanlar Eye Education and Research Hospital, Ankara, Turkey.
  • Govetto A; Retina Department, Jules Stein Eye Institute, Los Angeles, California, USA.
  • Invernizzi A; Eye Clinic, Department of Clinical Science, Luigi Sacco Hospital, University of Milan, Milan, Milan, Italy.
  • Eliott D; Retina Department, Massachusetts Eye and Ear Infirmary, Boston, Massachusetts, USA.
  • Gaudric A; Department of Ophthalmology, Lariboisière Hospital, University of Paris 7 Denis Diderot, Paris, France.
  • Cunha de Souza E; Department of Ophthalmology, University of Sao Paulo, Sao Paulo, Brazil.
  • Naysan J; Ophthalmology, North Shore-Long Island Jewish, Great Neck, New York, USA.
  • Lembo A; University Eye Clinic, San Giuseppe Hospital, Milan, Italy.
  • Lee GC; Department of Ophthalmology, Kaiser Permanente, Woodland Hills, California, USA.
  • Freund KB; Retina Department, Vitreous Retina Macula Consultants of New York, New York, New York, USA.
Br J Ophthalmol ; 105(3): 374-380, 2021 03.
Article en En | MEDLINE | ID: mdl-32376610
BACKGROUND: To describe the clinical presentation and characteristic imaging features of deep retinal haemorrhages primarily located in the Henle fibre layer (HFL) of the macula. The spectrum of aetiologies and a comprehensive theory of pathogenesis are presented. METHODS: This is a retrospective, multicentre case series evaluating eyes with retinal haemorrhage in HFL. Clinical features, underlying aetiology, systemic and ocular risk factors, visual acuity, and multimodal imaging including fundus photography and cross-sectional and en face optical coherence tomography (OCT) are presented. RESULTS: Retinal haemorrhages localised to HFL in 33 eyes from 23 patients were secondary to acute blunt trauma to the head (n=2), eye (n=1) and trunk (n=1), ruptured intracranial aneurysm (Terson's syndrome, n=3), general anaesthesia (n=1), epidural anaesthesia (n=1), hypertension with anaemia (n=1), decompression retinopathy (n=1), postvitrectomy with intraocular gas (n=1), retinal vein occlusion (n=7), myopic degeneration (n=2), macular telangiectasia type 2 (n=1), and polypoidal choroidal vasculopathy (n=1). Defining clinical features included deep retinal haemorrhage with feathery margin and petaloid pattern radiating from the fovea. OCT demonstrated characteristic hyper-reflectivity from the haemorrhage delineated by obliquely oriented fibres in the Henle layer. Spontaneous resolution of HFL haemorrhage occurred after 3 months in 15 patients with follow-up. CONCLUSION: The characteristic petaloid-shaped, deep intraretinal haemorrhage with a feathery margin localised to HFL is associated with various disorders. The terminology 'Henle fiber layer hemorrhage (HH)' is proposed to describe the clinical and OCT findings, which may result from abnormal retinal venous pressure from systemic or local retinovascular disorders affecting the deep capillary plexus or from choroidal vascular abnormalities.
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Texto completo: 1 Colección: 01-internacional Base de datos: MEDLINE Asunto principal: Hemorragia Retiniana / Angiografía con Fluoresceína / Agudeza Visual / Tomografía de Coherencia Óptica / Fóvea Central Tipo de estudio: Etiology_studies / Observational_studies / Prevalence_studies / Risk_factors_studies Límite: Adolescent / Adult / Aged / Female / Humans / Male / Middle aged Idioma: En Revista: Br J Ophthalmol Año: 2021 Tipo del documento: Article País de afiliación: Estados Unidos Pais de publicación: Reino Unido
Texto completo
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XML
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Texto completo: 1 Colección: 01-internacional Base de datos: MEDLINE Asunto principal: Hemorragia Retiniana / Angiografía con Fluoresceína / Agudeza Visual / Tomografía de Coherencia Óptica / Fóvea Central Tipo de estudio: Etiology_studies / Observational_studies / Prevalence_studies / Risk_factors_studies Límite: Adolescent / Adult / Aged / Female / Humans / Male / Middle aged Idioma: En Revista: Br J Ophthalmol Año: 2021 Tipo del documento: Article País de afiliación: Estados Unidos Pais de publicación: Reino Unido