A vitreous hemorrhage occurs when blood leaks into the vitreous, the clear, gel-like substance that fills the inside of the eye. This can significantly impact vision, causing blurriness, dark spots, or complete vision obstruction depending on the severity of the bleed. Vitreous hemorrhages are often caused by underlying retinal conditions and require prompt evaluation to determine the cause and appropriate treatment.
Several retinal conditions can lead to bleeding into the vitreous, including:
Fragile, abnormal blood vessels in the retina can break and bleed.
When the retina is torn, blood vessels may be damaged, leading to hemorrhage.
Blocked retinal veins can cause increased pressure and bleeding.
Direct injury to the eye can rupture blood vessels in the retina or vitreous.
The severity of symptoms depends on how much blood has leaked into the vitreous. Common signs include:
Since some causes of vitreous hemorrhage, such as retinal tears or detachment, require urgent treatment, immediate evaluation by a retina specialist is crucial.
Treatment depends on the severity of the hemorrhage and the underlying cause:
In mild cases, the blood may clear on its own over time. We monitor the eye closely for any changes.
If a retinal tear or abnormal blood vessels are present, laser photocoagulation may be used to stop further bleeding.
If the hemorrhage is related to diabetic retinopathy or vein occlusion, anti-VEGF injections can help reduce abnormal blood vessel growth and bleeding.
In severe cases where the blood does not clear or is causing significant vision loss, vitrectomy surgery is performed to remove the vitreous gel along with the blood and allow light to reach the retina again.
At Retina Center of Chicago, we specialize in the evaluation and treatment of vitreous hemorrhages, offering both non-surgical and surgical solutions to restore vision. Our team is experienced in advanced vitrectomy techniques for cases requiring surgery and provides personalized care for every patient. If you are experiencing sudden vision changes due to floaters, haziness, or dark shadows, we are here to provide expert care and the most effective treatment options to protect your sight.
