HEMORRHAGE IN RETINA
HEMORRHAGE IN RETINA
- Clinical appearance of retinal hemorrhage is determined by the location of blood in the retina.
- Retinal hemorrhages are categorized as:
1. Superficial hemorrhage (Flame shaped/ Splinter shaped):
- Located superficially in the superficial nerve fiber layer.
2. Deep hemorrhage (Dot blot): Occur in deeper retinal layers.
3. Retrohyaloid (subhyaloid) hemorrhage (Boat-shaped or scaphoid):
- Located anterior (internal) to the retina, within retrohyoid space.
4. Subretinal hemorrhage: Located deep (external) to the retina.
5. Vitreous hemorrhage: Intravitreal hemorrhage m/c by retinal lesions.

CHERRY RED SPOT
- Central part of macula appears as a red spot, whenever there is retinal edema.
- This is because, vascular choroid shins through the very thin area of retina at this area.

Causes of cherry red spot
- GM2 gangliosidoses (Tay sachs & sandhoff)
- GM1 gangliosidoses
- Niemann- Pick’s disease
- Gaucher’s disease
- Metachromatic leukodystrophy
- Central retinal artery occlusion (CRAO)
- Trauma (Berlin’s edema/ commotion retinae)
- Farber’s disease
- Goldberg’s disease
- Hurler’s syndrome
- Mucopolysacharidosis VII
- Multiple sulfatase deficiency
- Poisoning-Carbon mono-oxide, methanol
- Rarely in Krabbe’s disease
Exam Important
- The superficial retinal hemorrhage is seen in Nerve fibre layer of retina.
CHERRY RED SPOT
- Central part of macula appears as a red spot, whenever there is retinal edema.
- This is because, vascular choroid shins through the very thin area of retina at this area.

Causes of cherry red spot
- GM2 gangliosidoses (Tay sachs & sandhoff)
- GM1 gangliosidoses
- Niemann- Pick’s disease
- Gaucher’s disease
- Metachromatic leukodystrophy
- Central retinal artery occlusion (CRAO)
- Trauma (Berlin’s edema/ commotion retinae)
- Farber’s disease
- Goldberg’s disease
- Hurler’s syndrome
- Mucopolysacharidosis VII
- Multiple sulfatase deficiency
- Poisoning-Carbon mono-oxide, methanol
- Rarely in Krabbe’s disease
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