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Vitreous Haemorrhage

Vitreous haemorrhage is where blood leaks into the vitreous fluid, usually due to blockage or damage of the retinal vessels. It can be caused by:

  • Damage to retinal vessels – Injury, trauma, retinal detachment, retinal vein occlusion, surgery

  • Abnormal retinal vessels – Diabetic retinopathy! (most common cause), macular degeneration, retinal vein occlusion

  • Bleeding from other parts pf eye – Tumour

Presentation:

  • Sudden, painless vision loss

  • Floaters

  • Blurred vision

  • Worse in the morning as the blood settles at the back of the eye during the night

Slit lamp photograph showing retinal detachment in Von Hippel-Lindau disease - National Eye Institute/National Institutes of Health

Managed conservatively as most take 6-8 weeks to spontaneously clear. If it doesn't resolve in its own, a Vitrectomy can be done.


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