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September 1961

Vitreous Hemorrhages: Surgical Treatment

Author Affiliations

From the Retina Foundation, Department of Ophthalmology, Massachusetts Eye and Ear Infirmary.

Arch Ophthalmol. 1961;66(3):327-335. doi:10.1001/archopht.1961.00960010329006

Hemorrhage into the vitreous body results in a sudden and often profound impairment of vision. Generally speaking, treatment of the hemorrhage itself is not feasible although aspiration of the vitreous hemorrhage has been performed.1,2 Most ophthalmologists prefer a conservative approach which involves treatment of the primary cause of the bleeding. It is the purpose of this paper to consider briefly the most common causes of vitreous hemorrhage and to discuss in detail one source of recurrent vitreous hemorrhage, new-formed retinal vessels, which may be obliterated by surgical treatment.

Causes of Vitreous Hemorrhage  In Table 1 are listed the more important disorders to be considered in any patient with a vitreous hemorrhage. A tear in the retina is a commonly overlooked cause of vitreous hemorrhage. This diagnosis often is not considered until retinal detachment occurs, usually a few weeks after the development of the tear which is accompanied by hemorrhage

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