TY - JOUR
AR - JSCR-2022-1-103
TI - Spontaneous and Indentation Subretinal Hemorrhage from Choroidal Melanoma
AU - Pedro, A Rebello
AU - Melina, C Morales
AU - Juliana, HS Mascato
AU - Rodrigo, B Fernandes
AU - Arthur Gustavo, Fernandes
JO - Surgery Case Reports
PY - 2022
DA - Wed 29, Jun 2022
SN - 2733-225X
DO - http://dx.doi.org/10.31487/j.JSCR.2022.01.03
UR - https://www.sciencerepository.org/spontaneous-and-indentation-subretinal-hemorrhage_JSCR-2022-1-103 
KW - Choroid neoplasms, choroid hemorrhage, differential diagnosis, ophthalmology
AB - Choroidal melanoma is the most common primary intraocular malignancy in adults. Herein, the authors report two cases of subretinal hemorrhage associated with it. The first case presented with a large choroidal mass associated with subretinal hemorrhage, no history of trauma and choroidal melanoma diagnosis on ultrasound. The second case was initially diagnosed with retinal detachment but during the surgery a pigmented subretinal mass was observed, starting to bleed after scleral depression. Subretinal hemorrhage can occur due to ruptures in Bruch's membrane spontaneously or precipitated by inadvertent trauma. Despite an unusual manifestation, it should always be considered avoiding misdiagnosis.