The article by Ahmad and colleagues1 is of great interest. The authors describe a 70-year-old man presenting to the hospital with an acute ischemic infarction. Systemic thrombolysis was withheld because of the vitreous hemorrhage. I, however, respectfully disagree with their decision. This patient had a major stroke that affected the dominant cerebral hemisphere. If left untreated, he would have devastating neurological sequela and, if treated with thrombolytics, it may have worsened the vitreous hemorrhage.
Moudgil SS. Thrombolysis in Acute Ischemic Stroke With Vitreous Hemorrhage. Arch Neurol. 2009;66(9):1178-1179. doi:10.1001/archneurol.2009.184