Methods: Patients who had massive submacular hemorrhage, hemorrhagic detachment and vitreous hemorrhage in the last 5 years, treated with pars plana vitrectomy, 360-degree retinotomy, extraction of the subretinal membrane and autologous transplantation of the choroid and retinal pigment epithelium patch graft with at least 6 months follow-up were involved in this study. Mean best-corrected visual acuity (BCVA) post-treatment results and complications of patients were presented.

Results: A total of 5 eyes of 5 patients were involved in this study. The mean duration of hemorrhage was 11, 0±8, 9 days. The mean duration of follow-up was 17, 6±9, 4 months. Visual acuity increased in all of the cases postoperatively. One patient had PVR related inferior localized retinal detachment and two patients had limited subretinal hemorrhage at the donor site. There was subretinal fi brosis at the temporal edge of the graft in one case.

Conclusion: The treatment of submacular hemorrhage with autologous transplantation of the choroid and retinal pigment epithelium patch graft is an encouraging procedure leading to improved visual acuity in these eyes with naturally poor prognosis. Keywords : Submacular hemorrhage, age-related macular degeneration, choroid, and retinal pigment epithelium patch graft surgery