SD-OCT to differentiate traumatic submacular hemorrhage types using automatic three-dimensional segmentation analysis.

Traumatic submacular hemorrhage may present with significant decrease in vision and may have varying outcomes. Following injury, the hemorrhage can collect either between the neurosensory retina and retinal pigment epithelium (RPE) or below the RPE. This differentiation may be important to prognosticate and to guide treatment. In two patients with post-traumatic submacular hemorrhage, Cirrius spectral domain high-definition optical coherence tomography (OCT) (Carl Zeiss Meditec, Dublin, CA) was used to differentiate traumatic submacular hemorrhage types using automation three-dimensional segmentation analysis. Based on the OCT findings, the patient with sub-RPE bleed was subjected to pneumatic displacement. En face C-scan imaging just below the RPE allowed for the diagnosis of the exact location of choroidal rupture that was masked due to hemorrhage.