Fig. 10. Hemorrhagic retinopathy. A. Hemorrhage separating the vitreous body (v) from the internal limiting membrane of the retina (ilm) is a “true” subhyaloid hemorrhage. B. Massive accumulation of blood in the potential cleft (arrow) between the internal limiting membrane and the nerve fiber layer is a submembranous intraretinal hemorrhage. Such hemorrhages may appear with “fluid level” clinically, where they are somewhat inaccurately called subhyaloid hemorrhages. C. Large submembranous (intraretinal) hemorrhage may extend throughout the other layers of the retina as seen here and even rupture through the external limiting membrane to gain access to the subretinal space. D. Hemorrhages may be restrained from entering the vitreous compartment by the internal limiting membrane of the retina (as on the left), but this restraint diminishes rapidly whenever a thick basement membrane becomes thin (as over the optic nerve head on the right). (A, H&E, × 130; B, H&E, ×70; C, H&E, × 115; D, H&E, ×80) |