clinical features
Last reviewed 01/2018
- symptoms of vitreous hemorrhage are
- painless floaters
- these are unilateral
- are caused by mild hemorrhage
- may be described as
- floaters,cobwebs, haze, shadows ,a red hue
- visual loss
- occurs as a result of more significant hemorrhage
- visual acuity may reduce
- visual fields can be restricted
- scotomas may be associated
- vision is sometimes poorer in the mornings
- this happens when blood collects at the back of the eye
- painless floaters
- points to look for in the history
- ocular trauma
- eye surgery
- diabetes mellitus
- sickle cell anemia
- leukemias
- diseases of the carotid artery
- high myopic refractive error
- examination should include
- indirect ophthalmoscopy with scleral depression
- gonioscopy
- measurement of intra ocular pressure
- B-scan ultrasonography
- dilated fundoscopy of the other eye
- may give hints as to the aetiology (e.g. proliferative diabetic retinopathy)
- vitreous haemorrages may occur in many patterns
- nondispersed vitreous hemorrhage
- the retina may be visible
- the location may be known
- the source of the lesion may be found out
- preretinal hemorrhage
- seen in the subhyaloid space
- frequently seen as boat-shaped lesions
- occurs between the posterior hyaloid and the internal limiting membrane
- this subsides gradually
- dispersed vitreous hemorrhage
- this has no clear margins
- small lesions may be seen as few red blood cells
- large lesions may obscure the poterior pole
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