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Incidence of submacular haemorrhage (SMH) in Scotland: a Scottish Ophthalmic Surveillance Unit (SOSU) study.


ABSTRACT:

Purpose

Submacular haemorrhage (SMH) is a cause of severe visual loss in neovascular age-related macular degeneration (nAMD). The incidence is uncertain and furthermore there is no widely used classification system nor agreed best practice. The aim of this national surveillance study was to identify the incidence, presenting features and clinical course of new fovea-involving submacular haemorrhage associated with nAMD.

Methods

A questionnaire was sent monthly to every ophthalmic specialist in Scotland over a 12-month period asking them to report all newly presenting patients with acute SMH secondary to nAMD of at least two disc diameters (DDs) in greatest linear diameter. A follow-up questionnaire was sent 6 months after initial presentation. Cases related to other causes were excluded.

Results

Twenty-nine cases were reported giving an incidence of 5.4 per million per annum (range 2-15). The mean age was 83 years (range 66-96) and females accounted for 17/29 (59%). Fifteen of the 29 cases (52%) had a past history of AMD, of which 7 had nAMD. Nineteen of the 29 cases (66%) presented within 7 days of onset and the majority had SMH of ConclusionsThe incidence, clinical features and course of a consecutive national cohort of patients with SMH secondary to nAMD are presented.

SUBMITTER: Al-Hity A 

PROVIDER: S-EPMC6460709 | biostudies-literature | 2019 Mar

REPOSITORIES: biostudies-literature

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Publications

Incidence of submacular haemorrhage (SMH) in Scotland: a Scottish Ophthalmic Surveillance Unit (SOSU) study.

Al-Hity Aws A   Steel David H DH   Yorston David D   Gilmour David D   Koshy Zachariah Z   Young David D   Hillenkamp Jost J   McGowan Gerard G  

Eye (London, England) 20181029 3


<h4>Purpose</h4>Submacular haemorrhage (SMH) is a cause of severe visual loss in neovascular age-related macular degeneration (nAMD). The incidence is uncertain and furthermore there is no widely used classification system nor agreed best practice. The aim of this national surveillance study was to identify the incidence, presenting features and clinical course of new fovea-involving submacular haemorrhage associated with nAMD.<h4>Methods</h4>A questionnaire was sent monthly to every ophthalmic  ...[more]

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