Traumatic submacular hemorrhage often leads to a rapid decline in visual acuity, and prolonged retention of blood can cause irreversible retinal damage. By comparing two cases with similar clinical features but different treatment approaches and outcomes, and reviewing relevant domestic and international literature, this article proposes that such trauma-induced submacular hemorrhage should be considered an indication for ophthalmic“emergency surgery”. This recommendation is based on the understanding that subretinal blood accumulation exerts definite mechanical compression and chemotoxic damage on retinal tissue. Furthermore, submacular hemorrhage resulting from trauma differs in etiology and pathological mechanism from hemorrhage caused by primary macular diseases such as age-related macular degeneration. Therefore, it warrants distinct management and proactive intervention.