Vitreous Hemorrhage

Vitreous Hemorrhage is a topic covered in the 5-Minute Emergency Consult.

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Basics

Description

Vitreous hemorrhage is a secondary diagnosis; identification of a specific cause is necessary for successful treatment:
  • Retinal vessel tear due to vitreous separation
  • Sudden tearing of vessels due to trauma
  • Spontaneous bleeding due to neovascularization (e.g., diabetics)

Etiology

  • Blunt or penetrating trauma
  • Retinal break/tear/detachment
  • Any proliferative retinopathy
  • Diabetes mellitus
  • Sickle cell disease
  • Retinal vein occlusion
  • Eales disease
  • Senile macular degeneration
  • Retinal angiomatosis
  • Retinal telangiectasia
  • Peripheral uveitis
  • Subarachnoid or subdural hemorrhage:
    • Terson Syndrome
  • Intraocular tumor

Pediatric Considerations
  • Prematurity
  • Congenital retinoschisis
  • Pars planitis
  • Child abuse:
    • Shaken-baby syndrome

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