vitreous haemorrhage

Question 1

what are the causes of vitreous haemrrhage

Answer 1

Acute posterior vitreous detachment (PVD), a/w either a retinal tear or avulsion of a peripheral vessel

Proliferative retinopathy (2’ to neovascularisation) (spontaneous rupture of abnormal vessels)

• Diabetic (PDR)
• Retinal vein occlusion (RVO), e.g. ischaemic CRVO
• Sickle cell disease

Miscellaneous retinal disorders

• Macroaneurysm
• Telangiectasia
• Capillary haemangioma

Trauma (rupture of normal vessels)

Systemic

• Bleeding disorders
• Terson syndrome (refers to the combination of intraocular and subarachnoid haemorrhage secondary to intracranial aneurysmal rupture)

Question 2

what are the investigations for vitreous haemorrhage?

Answer 2

• Fundoscopy
• Slit lamp*
• B scan U/S
• CT brain (TRO intracranial aneurysm rupture)