Definition: bleeding into the middle chamber of the eye obscuring vision. Often self limiting and will resolve spontaneously, but may need investigation for its cause – often diabetic retinopathy
Classification / type of disease:
Presenting symptoms / signs:
- Sudden onset of floaters causing impaired vision or total loss of vision.
- Depending on the severity of the haemorrhage, the view may be impossible with a direct ophthalmoscope (it is then important to examine the good eye which may provide clues such as in diabetes mellitus).
- posterior vitreous detachment with or without retinal breaks
- proliferative diabetic retinopathy
- central retinal vein occlusion
- subretinal neovascular membrane in age-related macular degeneration with breakthrough bleeding
- trauma due to contact sport
Treatment / management:
- In the casualty, the ophthalmologists will examine the eye for any posterior vitreous detachment and diabetic changes.
- An ultrasound is often performed if the view is poor to exclude a retinal detachment
- These patients require close observation until the cause has been established or treated.
- If it does not heal spontaneously within 6 weeks – a vitrectomy may be indicated.