Good Hope, Heartlands, and Solihull Eye Clinics

Vitreous haemorrhage

David Kinshuck

floaters and posterior vitreous detachment

If there is a haemorrhage there is a much higher risk of tear/detachment enlarge

In patients who do not have proliferative retinopathy such as that from diabetes or a previous retinal vein occlusion, and there is a vitreous haemorrhage, there is a nearly 2/3 chance there is a tear, and 1/3 chance there is a detachment. The risk of tear/detachment is slightly lower in if the patient is using anticoagulants. Eye 11   Retina 20







Factors causing/contributing

  • abnormal new vessels 45%
    • diabetic new vessels 32%
    • retinal vein occlusion and new vessels 11%
    • sickle retinopathy 2%
  • normal vessels with PVD 40%
    • no tears ~10%
    • flat tear ~20%
    • retinal detachment ~10%
  • macroaneurysm 2%
  • wet ARMD 2%
  • other ~10%
  • (College News 14)