Purpose: The purpose of this case report is to discuss an uncommon, unique hemorrhagic chorioretinopathy. Method: A 79-year-old-white female presented to clinic with complaints of difficulty reading at close distances and seeing faces at far distances in both eyes. An 85-year old white female presented with no visual complaints but stated redness in the nasal corner of her right eye. This is a case report of two patients that presented with geographic atrophy of the macula as well as midperipheral RPE alterations in both eyes, which resembled intraretinal hemorrhages. Results: The ocular findings associated with peripheral exudative hemorrhagic chorioretinopathy may include midperipheral intraretinal hemorrhages, peripheral RPE mottling, subretinal fluid or hemorrhages, subretinal exudation, pigment epithelial detachments, and/or vitreous hemorrhages. Conclusions: Although this condition is rare, primary eye care providers should be aware of this unique clinical entity, its relationship to age-related macular degeneration, and when these patients require a referral to a retinal specialist.

Author Bio(s)

Marlon Demeritt, OD, MBA, FAAO is an Assistant Professor and Attending Optometrist at Nova Southeastern University College of Optometry and The Eye Care Institute.

Beata Lewandowska, OD is an Assistant Professor and Attending Optometrist at Nova Southeastern University College of Optometry and The Eye Care Institute.


1. Shields, Jerry A., et al. "Pseudomelanomas of the posterior uveal tract: the 2006 Taylor R. Smith Lecture." Retina 25.6 (2005): 767-7 2. Shields, Carol L., et al. "Peripheral exudative hemorrhagic chorioretinopathy simulating choroidal melanoma in 173 eyes." Ophthalmology 116.3 (2009): 529-535. 3. Mantel, Irmela, Ann Schalenbourg, and Leonidas Zografos. "Peripheral exudative hemorrhagic chorioretinopathy: polypoidal choroidal vasculopathy and hemodynamic modifications." American journal of ophthalmology 153.5 (2012): 910-922. 4. Annesley Jr, William H. "Peripheral exudative hemorrhagic chorioretinopathy." Transactions of the American Ophthalmological Society 78 (1980): 321. 5. Cebeci, Zafer, et al. "Clinical features and course of patients with peripheral exudative hemorrhagic chorioretinopathy." Turkish journal of ophthalmology 46.5 (2016): 215. 6. Mantel, Irmela, Sylvie Uffer, and Leonidas Zografos. "Peripheral exudative hemorrhagic chorioretinopathy: a clinical, angiographic, and histologic study." American journal of ophthalmology 148.6 (2009): 932-938. 7. Alforja, María Socorro, et al. "Intravitreal bevacizumab injection for peripheral exudative hemorrhagic chorioretinopathy." Japanese journal of ophthalmology 55.4 (2011): 425-427. 8. Pinarci, E. Y., et al. "Clinical characteristics of peripheral exudative hemorrhagic chorioretinopathy and its response to bevacizumab therapy." Eye 27.1 (2013): 111-112. 9. Reese, Algernon B., and Ira S. Jones. "Hematomas under the retinal pigment epithelium." American journal of ophthalmology 53.6 (1962): 897-910. 10. Gomi, Fumi, and Yasuo Tano. "Polypoidal choroidal vasculopathy and treatments." Current opinion in ophthalmology 19.3 (2008): 208-212. 11. Takkar, Brijesh, et al. "Peripheral choroidal neovascular membrane in a case of peripheral exudative hemorrhagic chorioretinopathy managed with combination therapy." International ophthalmology 37.2 (2017): 429-43.



Included in

Eye Diseases Commons


To view the content in your browser, please download Adobe Reader or, alternately,
you may Download the file to your hard drive.

NOTE: The latest versions of Adobe Reader do not support viewing PDF files within Firefox on Mac OS and if you are using a modern (Intel) Mac, there is no official plugin for viewing PDF files within the browser window.