J Korean Ophthalmol Soc.  2015 Dec;56(12):1887-1892. 10.3341/jkos.2015.56.12.1887.

Etiological Analysis of Non Traumatic, Non Diabetic Spontaneous Vitreous Hemorrhage Using Vitrectomy

• Han KK
• Lee YH
• Chang YS

• KMID: 2148750
• DOI: http://doi.org/10.3341/jkos.2015.56.12.1887

Abstract

PURPOSE
In this study we evaluated and analyzed the causes and prognosis of spontaneous vitreous hemorrhage except direct ocular trauma and diabetic retinopathy-induced vitreous hemorrhage confirmed after therapeutic vitrectomy.
METHODS
The present study included Non-traumatic, non-diabetic vitreous hemorrhage patients who underwent vitrectomy in our hospital from March 2010 to December 2013 and were followed up for more than 1 year. Past history, preoperative visual acuity and intraocular pressure were evaluated postoperatively at 1, 3, 6 and 12 months.
RESULTS
A total of 157 patients (157 eyes) were included in the study. Common causes of vitreous hemorrhage were branch retinal vein occlusion, retinal tear and age-related macular degeneration. Age-related macular degeneration and central retinal vein occlusion patients showed a poor visual prognosis. Lattice retinal degeneration or retinal tear in the opposite eye was observed in 27 patients and therefore, barrier laser was performed.
CONCLUSIONS
The most common cause of spontaneous vitreous hemorrhage was retinal vein occlusion. Visual prognosis varied depending on the cause of disease, but significant vision improvement can be expected if the macula is not involved. Additionally, in some patients without evidence of retinal detachment on ultrasound, a possible retinal tear accompanied by localized retinal detachment should be considered.

Keyword

Spontaneous vitreous hemorrhage

MeSH Terms

Humans
Intraocular Pressure
Macular Degeneration
Prognosis
Retinal Degeneration
Retinal Detachment
Retinal Perforations
Retinal Vein
Retinal Vein Occlusion
Ultrasonography
Visual Acuity
Vitrectomy*
Vitreous Hemorrhage*

Figure

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  Figure 1. B-scan image of vitreous hemorrhage without retinal detachment.

Reference

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