Vitreous hemorrhage is when blood leaks into the gel-like fluid of the eye. This can cause problems seeing.
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This problem may be caused by damaged or abnormal blood vessels in the back of the eye. Rarely, a vitreous hemorrhage may be caused by bleeding from other parts of the eye.
This problem is more common in people with health issues and injuries that can cause damage to the blood vessels of the eye, such as:
A person with a vitreous hemorrhage may have eyesight problems such as:
- Black spots, floaters, or light flashes
- Blurriness or haziness
- Seeing red
- Loss of eyesight
Eyesight problems may be worse in the morning.
The doctor will ask about symptoms and health history. A physical exam will be done. An eye exam will be done.
A slit-lamp will be used to look for signs of bleeding at the back of the eye. Some people may have an ultrasound instead.
The goals of treatment are to treat any underlying cause of the hemorrhage and prevent any eyesight loss. Most people get better without treatment. The doctor can watch for changes.
Some people may need surgery. Vitrectomy may be done to remove the hemorrhage.
The risk of this problem may be lowered by:
- Managing chronic health problems, such as diabetes
- Taking steps to avoid eye injury, such as wearing safety goggles when needed
- Diabetic peripheral neuropathy. EBSCO DynaMed website. Available at: https://www.dynamed.com/condition/diabetic-peripheral-neuropathy.
- Gariano, R.F., Kim, C.H. Evaluation and management of suspected retinal detachment. Am Fam Physician. 2004; 69 (7): 1691-1698.
- Retinal detachment. EBSCO DynaMed website. Available at: https://www.dynamed.com/condition/retinal-detachment.
- Vitreous hemorrhage. EyeWiki—American Academy of Ophthalmology website. Available at: https://www.eyewiki.org/Vitreous_Hemorrhage.
- James P. Cornell, MD
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