Vitreous hemorrhage - spontaneous

Case contributed by Dr Chris O'Donnell

Presentation

Acute onset of painless reduced vision in the right eye. No history of trauma.

Patient Data

Age: 95 years
Gender: Female

Diffuse heterogeneous increase in density within the vitreous of the right globe as compared with the left.

CT

Previous CT (6 months earlier)

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.

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Case information

rID: 53656
Published: 29th May 2017
Last edited: 18th Feb 2019
System: Head & Neck
Inclusion in quiz mode: Included

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