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Vitreous Hemorrhage Updated 12/2010

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BASICS

  • Description
  • Etiology

DIAGNOSIS

  • Signs and Symptoms
  • Essential Workup
  • Tests
  • Differential Diagnosis

TREATMENT

  • Pre-hospital
  • Initial Stabilization
  • ED Treatment
  • In-patient Considerations

Ongoing Care

  • Follow-Up Recommendations
The following is an excerpt....
BASICS
Description

Vitreous hemorrhage is a secondary diagnosis; identification of a specific cause is necessary for successful treatment:

  • Retinal vessel tear secondary to vitreous separation
  • Sudden tearing of vessels owing to trauma
  • Spontaneous bleeding owing to neovascularization
Etiology
  • 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
  • Intra-ocular tumor
ALERT: Pediatric Considerations
  • Prematurity
  • Congenital retinoschisis
  • Pars planitis
  • Child abuse:
    • Shaken-baby syndrome

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See Also
Images >
orbital floor blow-out fracture: Waters view on plain film shows major findings associated with an orbital floor blow-out injury: disruption of orbital floor (arrowheads), soft-tissue mass in the superior aspect of maxillary sinus (open arrow), and maxillary sinus fluid level (closed arrow)Credit: NA
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