Vitrectomy should be considered if the vitreous haemorrhage is not absorbed within
VITREOUS HAEMORRHAGE Fate of vitreous haemorrhage 1. Complete absorption may occur without organization and the vitreous becomes clear within 4-8 weeks. 2. Organization of haemorrhage with formation of a yellowish-white debris occurs in persistent or recurrent bleeding. 3. Complications like vitreous liquefaction, degeneration and khaki cell glaucoma (in aphakia) may occur. 4. Retinitis proliferans may occur which may be complicated by tractional retinal detachment. Treatment : 1. Conservative treatment consists of bed rest, elevation of patient's head and bilateral eye patches. This will allow the blood to settle down. 2. Treatment of the cause. Once the blood settles down, indirect ophthalmoscopy should be performed to locate and fuher manage the causative lesion such as a retinal break, phlebitis, proliferative retinopathy, etc. 3. Vitrectomy by pars plana route should be considered to clear the vitreous, if the haemorrhage is not absorbed after 3 months. Ref:- A K KHURANA; pg num:-246
1 month
2 months
3 months
6 months
Vitreous and retina