{"status":"ok","message-type":"work","message-version":"1.0.0","message":{"indexed":{"date-parts":[[2026,9,29]],"date-time":"2026-09-29T16:04:25Z","timestamp":1790697865511,"version":"4.1.0"},"reference-count":8,"publisher":"SAGE Publications","license":[{"start":{"date-parts":[[2026,4,21]],"date-time":"2026-04-21T00:00:00Z","timestamp":1776729600000},"content-version":"vor","delay-in-days":0,"URL":"https:\/\/creativecommons.org\/licenses\/by\/4.0\/"},{"start":{"date-parts":[[2026,4,21]],"date-time":"2026-04-21T00:00:00Z","timestamp":1776729600000},"content-version":"tdm","delay-in-days":0,"URL":"https:\/\/journals.sagepub.com\/page\/policies\/text-and-data-mining-license"}],"content-domain":{"domain":["journals.sagepub.com"],"crossmark-restriction":true},"short-container-title":["Journal of VitreoRetinal Diseases"],"abstract":"<jats:p>\n                    <jats:bold>Purpose:<\/jats:bold>\n                    To report a rare case of spontaneous suprachoroidal hemorrhage in polypoidal choroidal vasculopathy (PCV) and propose a possible pathophysiologic cascade with associated clinical warning signs.\n                    <jats:bold>Methods:<\/jats:bold>\n                    A single observational case was reviewed.\n                    <jats:bold>Results:<\/jats:bold>\n                    A 66-year-old man with PCV developed sequential massive submacular hemorrhage, breakthrough vitreous hemorrhage, non-appositional choroidal elevation, and ultimately appositional suprachoroidal hemorrhage with angle closure and ocular hypertension. Despite treatment with posterior sub-Tenon triamcinolone and conservative management, the final visual outcome was no light perception.\n                    <jats:bold>Conclusions:<\/jats:bold>\n                    Spontaneous suprachoroidal hemorrhage in PCV is an extremely rare but devastating event. Based on the patient\u2019s stepwise clinical progression over several follow-up visits, we propose a sentinel cascade involving severe choroidal and vortex vein congestion culminating in blowout hemorrhage into the suprachoroidal space. Recognition of red-flag features may aid in early identification and closer surveillance of high-risk cases.\n                  <\/jats:p>","DOI":"10.1177\/24741264261442930","type":"journal-article","created":{"date-parts":[[2026,4,21]],"date-time":"2026-04-21T07:59:18Z","timestamp":1776758358000},"update-policy":"https:\/\/doi.org\/10.1177\/sage-journals-update-policy","source":"Crossref","is-referenced-by-count":0,"title":["Severe Polypoidal Choroidal Vasculopathy as a Harbinger of Spontaneous Suprachoroidal Hemorrhage"],"prefix":"10.1177","author":[{"ORCID":"https:\/\/orcid.org\/0000-0001-7069-3162","authenticated-orcid":false,"given":"Brendan K.","family":"Tao","sequence":"first","affiliation":[{"name":"Department of Ophthalmology and Vision Sciences, University of Toronto, Ontario, Canada"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Austin","family":"Pereira","sequence":"additional","affiliation":[{"name":"Department of Ophthalmology and Vision Sciences, University of Toronto, Ontario, Canada"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Mohamed","family":"Gemae","sequence":"additional","affiliation":[{"name":"Department of Ophthalmology and Vision Sciences, University of Toronto, Ontario, Canada"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Nupura","family":"Bakshi","sequence":"additional","affiliation":[{"name":"Department of Ophthalmology and Vision Sciences, University of Toronto, Ontario, Canada"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"ORCID":"https:\/\/orcid.org\/0000-0001-6450-9525","authenticated-orcid":false,"given":"Tina","family":"Tang","sequence":"additional","affiliation":[{"name":"Department of Ophthalmology and Vision Sciences, University of Toronto, Ontario, Canada"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Panos","family":"Christakis","sequence":"additional","affiliation":[{"name":"Department of Ophthalmology and Vision Sciences, University of Toronto, Ontario, Canada"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"ORCID":"https:\/\/orcid.org\/0000-0003-0581-7514","authenticated-orcid":false,"given":"Miguel","family":"Cruz-Pimentel","sequence":"additional","affiliation":[{"name":"Dean McGee Eye Institute, Department of Ophthalmology, The University of Oklahoma, USA"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"ORCID":"https:\/\/orcid.org\/0000-0003-3818-9788","authenticated-orcid":false,"given":"Peng","family":"Yan","sequence":"additional","affiliation":[{"name":"Department of Ophthalmology and Vision Sciences, University of Toronto, Ontario, Canada"}],"role":[{"vocabulary":"crossref","role":"author"}]}],"member":"179","published-online":{"date-parts":[[2026,4,21]]},"reference":[{"key":"e_1_3_3_2_2","doi-asserted-by":"publisher","DOI":"10.1097\/IAE.0b013e3182852446"},{"key":"e_1_3_3_3_2","doi-asserted-by":"publisher","DOI":"10.1038\/sj.eye.6702455"},{"key":"e_1_3_3_4_2","doi-asserted-by":"publisher","DOI":"10.1159\/000533937"},{"key":"e_1_3_3_5_2","doi-asserted-by":"publisher","DOI":"10.1177\/24741264221074799"},{"key":"e_1_3_3_6_2","doi-asserted-by":"publisher","DOI":"10.1016\/j.tjo.2014.10.008"},{"key":"e_1_3_3_7_2","doi-asserted-by":"publisher","DOI":"10.1038\/eye.2016.67"},{"key":"e_1_3_3_8_2","doi-asserted-by":"publisher","DOI":"10.1007\/s00417-013-2550-x"},{"key":"e_1_3_3_9_2","doi-asserted-by":"publisher","DOI":"10.1038\/eye.1998.168"}],"container-title":["Journal of VitreoRetinal Diseases"],"original-title":[],"language":"en","link":[{"URL":"https:\/\/journals.sagepub.com\/doi\/pdf\/10.1177\/24741264261442930","content-type":"application\/pdf","content-version":"vor","intended-application":"text-mining"},{"URL":"https:\/\/journals.sagepub.com\/doi\/full-xml\/10.1177\/24741264261442930","content-type":"application\/xml","content-version":"vor","intended-application":"text-mining"},{"URL":"https:\/\/journals.sagepub.com\/doi\/pdf\/10.1177\/24741264261442930","content-type":"unspecified","content-version":"vor","intended-application":"similarity-checking"}],"deposited":{"date-parts":[[2026,9,29]],"date-time":"2026-09-29T15:24:26Z","timestamp":1790695466000},"score":1,"resource":{"primary":{"URL":"https:\/\/journals.sagepub.com\/doi\/10.1177\/24741264261442930"}},"subtitle":[],"short-title":[],"issued":{"date-parts":[[2026,4,21]]},"references-count":8,"alternative-id":["10.1177\/24741264261442930"],"URL":"https:\/\/doi.org\/10.1177\/24741264261442930","relation":{},"ISSN":["2474-1264","2474-1272"],"issn-type":[{"value":"2474-1264","type":"print"},{"value":"2474-1272","type":"electronic"}],"subject":[],"published":{"date-parts":[[2026,4,21]]},"article-number":"24741264261442930"}}