Vitreous Heamorrhage
EYE CARE DOCTOR
VITREOUS HAEMORRHAGE. What is it?
Vitreous hemorrhage is the extravasation of blood into the vitreous cavity (the back of the eye). This condition may result directly from fresh tears in the retina or neovascularization of the retina (abnormal blood vessels which grow on the retinal surface and into the vitreous cavity in response to retinal ischaemia). Retinal ischemia is common in diabetes, following a central vein occlusion or in vasculitic conditions with interfere with the overall blood supply of the eye.
How is vitreous haemorrhage treated ?
It depends on the cause:
- In diabetes it is overall systemic control of the disease coupled with better control of co-morbidities. We often laser retina if there isn’t a lot of blood.
- You might need an ultrasound of the eye if there is concern that there is an underlying retinal detachment.
- Your ophthalmologist may inject your eye with an antiVEGF injection ( Medical aids will often pay one and not the other because of cost)
- A combination of these modalities of treatment may be implemented.
- Vitrectomy surgery early if blood does not clear on its own or there is a concern that there is an underlying retinal detachment
Your ophthalmologist may decide what is best suited for your condition.
Why do I need to have a vitrectomy if I have a vitreous haemorrhage?
A vitrectomy is a type of eye surgery to treat various problems with the retina and vitreous. During the surgery, your surgeon removes the vitreous and replaces it with another solution. The vitreous is a gel-like substance that fills the middle portion of your eye.Blood will be removed at the back of the eye as well as vitreous.
Can you have good vision straight away following surgery?
Often you will need four to six weeks to recuperate before going back to normal activities. This is also dependent on whether you have gas, which type of gas or silicone oil. How much vision to expect after your retina is settled will be discussed and best prognosticated by your doctor.
Are you awake during a vitrectomy?
Yes, you can be awake. It depends on your preference and anticipated difficulty of surgery.
Claustrophobic patients struggle being awake.
FREQUENTLY ASKED QUESTIONS
Yes. Modern day surgery is very safe. Micro instruments are used where indicated, creating self sealing wounds, leading to post-op comfort and quick post-op recovery.
Eye Specialist & Opthalamic Surgeon
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Dr Sineziwe Mulonga is an Ophthalmologist, a specialist eye surgeon for treatment of medical eye conditions, specialising in surgical and medical retina.
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