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  • Parts A and E courtesy of Robert H. Rosa Jr, MD; part B courtesy of Benjamin J. Kim, MD; part D courtesy of Nasreen A. Syed, MD.
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    Ocular Pathology/Oncology

    Retinal hemorrhage. A, Fundus photograph shows dot-and-blot (arrowhead) and flame-shaped (arrow) intraretinal hemorrhages and boat-shaped preretinal hemorrhage (asterisk) in proliferative diabetic retinopathy. B, Fundus photograph shows dot-and-blot intraretinal hemorrhages (arrowheads). C, Fundus photograph shows multiple flame-shaped hemorrhages i>(bracket) in the retina surrounding the nerve. D, Histologically, preretinal hemorrhage may be just inside the internal limiting membrane (ILM) in the vitreous (between arrows) or just outside the ILM, creating a bullous hemorrhage in the innermost retina (asterisk). E, Histologically, the dot-and-blot hemorrhage corresponds to blood in the middle layers (inner nuclear and outer plexiform layers) of the retina (arrowhead), whereas flame-shaped hemorrhage corresponds to blood in the nerve fiber layer (arrow).