Presentation
Acute onset of painless reduced vision in the right eye. No history of trauma.
Patient Data
Age: 95 years
Gender: Female
From the case:
Vitreous hemorrhage - spontaneous
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Axial non-contrast
Diffuse heterogeneous increase in density within the vitreous of the right globe as compared with the left.
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Coronal C+ delayed
Typical senile calcific scleral plaques @ the medial and lateral rectus insertions. Clear (fluid density) vitreous bilaterally.
Case Discussion
Spontaneous (non-traumatic) vitreous hemorrhage is uncommon and usually due to diabetic retinopathy, or retinal tear and/or retinal detachment. Although not typically caused by anticoagulants, patients taking such drugs will have more substantial bleeding.