Vitreous Hemorrhage
The vitreous is the gelatinous-like substance that makes up approximately two-thirds of the eye’s volume. The vitreous is located in between the lens, in the front of the eye, and the retina, in the back of the eye. In a normal, healthy vitreous, there are no blood vessels, yet diseases, such as diabetic retinopathy, can lead to the development of new blood vessels which grow into the vitreous gel. These blood vessels are often fragile and susceptible to leaking blood and fluids.
Causes of a Vitreous Hemorrhage
A vitreous hemorrhage occurs when a blood vessels ruptures and causes bleeding within the vitreous gel, causing visual symptoms. There are various causes of a vitreous hemorrhage, including:
- Diabetic retinopathy
- Sickle cell retinopathy
- Retinal vein occlusion
- Retinopathy of prematurity
- Ocular ischemic syndrome
- Posterior vitreous detachment
- Retinal detachment
- Terson’s syndrome
- Retinal macroaneurysms
- Tumor
- Leukemia
- Nearsightedness
- Carotid artery disease
- Trauma
- Choroidal neovascularization
Symptoms of a Vitreous Hemorrhage
Patients with vitreous hemorrhage usually notice the following symptoms:
- A sudden, significant increase in the number and size of floaters blocking their vision
- Vision loss
- Blurry, cloudy or hazy vision
- Flashes of light
When symptoms occur, it is important for patients to seek prompt medical attention.
Diagnosis of a Vitreous Hemorrhage
- Gonioscopy
- IOP
- B-scan
- Dilated eye examination
- Indirect ophthalmoscopy
- Slit-lamp examination
Treatment of a Vitreous Hemorrhage
If a retinal detachment or break is diagnosed, a vitrectomy is performed immediately. Treatment for a vitreous hemorrhage will be determined based on the underlying cause of the condition. Some of the treatments for a vitreous hemorrhage include:
- Vitrectomy
- Cryotherapy
- Laser photocoagulation
- Intravitreal injections
- Observation
Additional Resources
- U.S. National Library of Medicine
- WebMD
Let Vistarr Laser & Vision Centers located in West Chester, Paoli, and Kennett Square, PA help you after a vitreous hemorrhage. Contact (610) 692-8100 or fill out a Contact Form here to schedule a consultation.
