Dr. María Soledad Pighin, a member of the Retina and Vitreous department, has published a study on acute nontraumatic vitreous hemorrhage in healthy patients in the prestigious Retina Journal.
The paper, entitled “Outcome of acute nontraumatic vitreous hemorrhage in healthy patients” aims to assess the medical actions before patients suffering from vitreous hemorrhage after a subsequent vitreous detachment, as well as addressing the controversy about the need to treat these cases or not.
Vitreous detachment is an event that occurs as a result of normal eye aging. In general, the affected eye has symptoms of darkening in the visual field (myodesopsia). If the vitreous gel breaks off sharply, it can damage the blood vessels of the retina. This is why there may be bleeding in the affected eye, with the consequent sudden visual loss.
At present there is no standardized protocol for the treatment of hemorrhages. Depending on the case, the doctor awaits evolution or performs the operation early. If the option is to await evolution, you can run the risk that a tear may detach the retina. According to Dr. Pighin, the study shows that special care must be taken with patients who have not yet had cataract surgery, since they have had a higher percentage of retinal problems in the published series.
The full article can be found on the Retina Journal website.
In most cases, the vision can be recovered after a surgery for retinal detachment: But if it is not treated, the patient’s vision could be irrevocably lost.
A vitreous detachment is the separation of the vitreous humour from its attachment points on the retina. This causes a sudden appearance of spots in the form of spider webs or flashing lights.
A vitreous hemorrhage is the presence of blood within the eye cavity that is filled with vitreous humor, a clear substance that fills up to two thirds of the eyeball total volume.
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