Outcome of Acute Nontraumatic Vitreous Hemorrhage in Healthy Patients

Abstract

Purpose: To compare outcomes in dense vitreous hemorrhage versus mild vitreous hemorrhage due to nontraumatic posterior vitreous detachment. Methods: We compared 315 eyes, divided into 2 patient groups, one with dense and the other with mild vitreous hemorrhage. The main outcome measures were final mean best-corrected visual acuity, number of retinal tears, number of retinal detachments, and the number of pars plana vitrectomy and/or scleral buckle surgeries. Results: In 33.4% of the patients, posterior vitreous detachment without complications was found. Retinal breaks after posterior vitreous detachment were found in 59% of the eyes. Rhegmatogenous retinal detachment was principally treated with pars plana vitrectomy and scleral buckle. In nonvisible fundus hemorrhage group, 44.4% of the patients underwent vitrectomy. In visible fundus hemorrhage group, 9.52% of the patients underwent pars plana vitrectomy. The mean final visual acuity was 20/25, without significant difference between groups (P = 0.064). Conclusion: Acute, spontaneous, nontraumatic posterior vitreous separation with vitreous hemorrhage is associated with a high incidence of retinal complications. Close follow-up is necessary. We did not find significant differences in final visual acuity neither between the two groups nor among the treatments.

Early vitrectomy in eyes with non-diabetic vitreous hemorrhage

“…21 Our series did not highlight significant differences in final BCVAs between the early PPV group and the conservative/late PPV groups and in any of the diagnostic subgroups, in agreement with previous literature. 22 Nevertheless, our results suggest that significant improvements in final BCVA may be expected in the group treated with early PPV (p = 0.00001).…”

Visual Outcome of Nontraumatic Dense Vitreous Hemorrhage in Patients without Diabetes: A Single-Center Case Series

“…A previous prospective study has reported that vitreous detachment and traction to a retinal vessel were the most common causes of vitreous hemorrhage [ 10 ]. Pighin et al [ 11 ] reported that retinal tears were found in 65.8% of healthy patients with dense vitreous hemorrhage. Although these findings differ from our result, the proportion of patients with well-controlled hypertension in these studies was 16% [ 10 ] and 21.7% [ 11 ].…”

“…Pighin et al [ 11 ] reported that retinal tears were found in 65.8% of healthy patients with dense vitreous hemorrhage. Although these findings differ from our result, the proportion of patients with well-controlled hypertension in these studies was 16% [ 10 ] and 21.7% [ 11 ]. In the present report, 44% of patients had systemic hypertension, a well-known, classic risk factor of BRVO [ 12 ].…”