Vitreous hemorrhage

Background

• Vitreous is avascular substance that helps keep retina in place
  • Traction at its attachments at the ora serrata and optic disc can result in bleeding
  • Neovascularization (a/w DM) can result in weak vessels w/ high propensity for bleeding

Causes

1. Diabetic retinopathy
2. Trauma
3. Sickle cell disease
4. Retinal detachment
5. Vitreous detachment

Clinical Features

1. Sudden, painless vision loss
2. Sudden appearance of black spots, cobwebs, or generalized unilateral hazy vision

Diagnosis

1. Fundoscopy
   1. May show gross hemorrhage
2. Ultrasound
   1. Bright echoes in posterior chamber

Treatment

1. Correct coagulopathy
2. Ophtho consult

Source

Tintinalli