Methods(Investigations and Treatment)
Fundus photo of the left eye showed the presence of a single sharply demarcated boat-shaped subhyaloid hemorrhage, occupying the lower half of the posterior pole including the macula(Figure 1). Optical coherence tomography (OCT) macula revealed attenuation of the underlying structures (Figure 2). His complete blood count, renal function test, hepatic function test, acute phase reactants, lipid profile, serum protein screened for coagulopathies, arterial blood gas, and serum creatine kinase levels were unremarkable. Electrocardiogram, echocardiography, and neuro-imaging revealed no abnormality. The patient was managed with vitamin C tablets 500 mg one tablet twice daily, topical non-steroidal anti-inflammatory drugs (NSAIDs) for two weeks, and was planned for laser hyaloidotomy. On follow-up after four weeks, his vision in the left eye improved to 6/36 with spontaneous clearing of the subhyaloid hemorrhage.