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.