IMMEDIATE POST PARTUM MACULAR SUBRETINAL BLEEDING IN A HIGHLY MYOPIC PATIENT: A CASE REPORT

Immediate post partum macular subretinal bleeding in a highly myopic patient: a case report

Immediate post partum macular subretinal bleeding in a highly myopic patient: a case report

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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 Diffuser 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 OMEGA-PRO HIGH DHA 1:5 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.

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