Valsalva-Related Subretinal Hemorrhage as a Presenting Symptom of Polypoidal Choroidal Vasculopathy

Figure 1

Retinal angiography using fluorescein (a) and indocyanine green (b) of the patient’s right eye. The polypoidal lesions are difficult to visualize due to the massive subretinal hemorrhage. Optical coherence tomography at (c) baseline (BCVA: 68 ETDRS letters, Snellen 6/15), (d) 3 months (BCVA: 64 ETDRS letters, Snellen 6/19), (e) 6 months (BCVA: 55 ETDRS letters, Snellen 6/24), and (f) 9 months follow-up (BCVA: 55 ETDRS letters, Snellen 6/24) shows a gradual development of subretinal fibrosis and intraretinal cysts.