Vitreous Hemorrhage

Not a diagnosis rather a sign of many diseases.

  • no cataract

  • Dull Red Reflex

  • no hyphema

  • painless

  • Neovascularization of Retina can cause it

    • Diabetes Mellitus (DM)
    • Central Vein Occlusion (CVO)
    • Sickle Cell

Vitreous Hemorrhage (cont.)

Any bleeding into vitreous will also reduce the visual acuity.

After trauma, seen in diabetics or after a retinal vein occlusion, and it may also accompany subarachnoid hemorrhage.

If you cannot appreciate a red reflex with an ophthalmoscope and the lens appears clear, you should suspect a vitreous hemorrhage.

The diagnosis is confirmed with slit lamp examination through a dilated pupil.

B scan is important.

Acute Angle Closure Glaucoma