CME

he oral anticoagulant and acetylsalicylic acid therapies extensively used for long-term prevention and treatment of throm-boembolic diseases are associated with systemic bleeding.1 Ocular bleeding is an unusual complication of these therapies. Subconjunctival hem-orrhage, the most common type (2 % of patients) never affects vision,2 but intraocular hemorrhages (eg, spon-taneous hyphema and subretinal, subchoroidal, and vitreous types) result in loss of vision.3-8 We describe three cases of sudden, painful blind-ness caused by acute angle-closure glaucoma sec-ondary to hemorrhagic retinal pigment epithelial detachment. Detachment was due to bleeding of a choroidal vessel in patients with disciform macula