Description

Vitreous hemorrhage may be followed by complications that can range from minor to severe, depending on the severity of the inciting cause and the extent of hemorrhage.


 

Risk factors for complications:

(1) severity of inciting cause (least risk if no inciting cause, highest with trauma)

(2) extent of hemorrhage

(3) single episode vs recurrent/chronic

 

Complications:

(1) acute change in visual acuity

(2) toxic damage to retinal cells with chronic change in visual acuity

(3) proliferative vitreoretinopathy with or without retinal detachment

(4) secondary open-angle glaucoma (ghost cell, hemolytic, hemosiderotic)

(5) other (cholesterolosis bulbi, hemoglobin spherulosis, vitreous cylinders)

Complications

Mild Hemorrhage

Moderate to Severe Hemorrhage

loss in visual acuity

floaters/haze

painless loss of vision

damage to retinal cells

none

hemosiderosis bulbi (siderosis bulbi)

proliferative vitreoretinopathy

none

retinal detachment

glaucoma

none

secondary open-angle glaucoma

 


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