# Intrapapillary Hemorrhage With Adjacent Peripapillary Subretinal Hemorrhage and Reduced Blood Flow in the Optic Papillary Region Observed on Laser Speckle Flowgraphy

## TL;DR

This case study explores a rare eye condition using laser speckle flowgraphy to observe blood flow changes and recovery.

## Contribution

Demonstrates the use of laser speckle flowgraphy in evaluating intrapapillary hemorrhage with subretinal hemorrhage.

## Key findings

- Hemorrhages partially resolved after one month and fully after three months without treatment.
- LSFG showed reduced blood flow in the affected eye, which may prevent recurrence.
- Visual acuity remained stable throughout the observation period.

## Abstract

Intrapapillary hemorrhage with adjacent peripapillary subretinal hemorrhage (IHAPSH), commonly observed in myopic eyes with tilted optic discs, typically resolves without treatment. Although IHAPSH cases have been rarely reported, no prior studies have assessed laser speckle flowgraphy (LSFG) in this context. We report a case of IHAPSH evaluated using LSFG. A 54‐year‐old woman presented with floater symptoms in her right eye upon awakening. She had no history of trauma or medication use. Her best corrected visual acuity (BCVA) was 1.2 in both eyes. Fundus examination and optical coherence tomography revealed a tilted disc with adjacent peripapillary subretinal hemorrhage surrounding the disc hemorrhage. After 1 month, the hemorrhages partially resolved without treatment, and complete resolution was observed after 3 months, with BCVA remaining at 1.2 in the affected eye. The mean blur rate obtained from LSFG showed mild improvement following a temporary decline in the affected eye but remained lower than that in the unaffected left eye. This case underscores the potential utility of LSFG in evaluating IHAPSH and suggests that reduced local blood flow around the disc following the initial disruption may prevent recurrence, even under conditions of elevated blood pressure.