Vitreous Haemorrhage

Bleeding in the vitreous cavity

Aetiology

  • Rupture of normal vessels from mechanical force e.g. trauma, retinal tear/PVD
  • Haemorrhage from pathological structures e.g. rupture of retinal neovascularization from diabetic retinopathy or retinal vein occusion

Clinical presentation

Symptoms

  • Sudden, painless visual loss or haze
  • May describe new onset floaters

Signs

  • Loss of red reflex - vitreous hemorrhage can obstruct light from focusing on the retina

Investigations

Fundoscopy

  • Haemorrhage
notion image

Management

  • Treat underlying aetiology