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Vitreous Hemorrhage

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

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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)


  • 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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Rosen, Peter, et al., editors. "Vitreous Hemorrhage." 5-Minute Emergency Consult, 5th ed., Lippincott Williams & Wilkins, 2016. Emergency Central, emergency.unboundmedicine.com/emergency/view/5-Minute_Emergency_Consult/307501/all/Vitreous_Hemorrhage.
Vitreous Hemorrhage. In: Rosen P, Shayne P, Barkin AZ, et al, eds. 5-Minute Emergency Consult. 5th ed. Lippincott Williams & Wilkins; 2016. https://emergency.unboundmedicine.com/emergency/view/5-Minute_Emergency_Consult/307501/all/Vitreous_Hemorrhage. Accessed April 25, 2019.
Vitreous Hemorrhage. (2016). In Rosen, P., Shayne, P., Barkin, A. Z., Wolfe, R. E., Hayden, S. R., Barkin, R. M., & Schaider, J. J. (Eds.), 5-Minute Emergency Consult. Available from https://emergency.unboundmedicine.com/emergency/view/5-Minute_Emergency_Consult/307501/all/Vitreous_Hemorrhage
Vitreous Hemorrhage [Internet]. In: Rosen P, Shayne P, Barkin AZ, Wolfe RE, Hayden SR, Barkin RM, Schaider JJ, editors. 5-Minute Emergency Consult. Lippincott Williams & Wilkins; 2016. [cited 2019 April 25]. Available from: https://emergency.unboundmedicine.com/emergency/view/5-Minute_Emergency_Consult/307501/all/Vitreous_Hemorrhage.
* Article titles in AMA citation format should be in sentence-case
TY - ELEC T1 - Vitreous Hemorrhage ID - 307501 ED - Rosen,Peter, ED - Shayne,Philip, ED - Barkin,Adam Z, ED - Wolfe,Richard E, ED - Hayden,Stephen R, ED - Barkin,Roger M, ED - Schaider,Jeffrey J, BT - 5-Minute Emergency Consult UR - https://emergency.unboundmedicine.com/emergency/view/5-Minute_Emergency_Consult/307501/all/Vitreous_Hemorrhage PB - Lippincott Williams & Wilkins ET - 5 DB - Emergency Central DP - Unbound Medicine ER -