[Non-traumatic vitreous hemorrhage]

Abstract

Spontaneous vitreous hemorrhage is a serious disease whose incidence is 7 per 100,000 people per year. Posterior vitreous detachment with or without retinal tear, diabetic retinopathy, vascular proliferation after retinal vein occlusion, age-related macular degeneration and Terson's syndrome are the most common causes. Repeated ultrasonography may ignore a retinal tear or detachment and delay vitrectomy that is the only treatment for serious forms. The occurrence of retinal tear or detachment is a surgical emergency as well as rubeosis or diabetic tractional retinal detachment involving the macula. Intravitreal injection of antiangiogenic agents are helpful in clearing the vitreous cavity, facilitating laser photocoagulation and reducing the risks of bleeding during preretinal neovascular membranes dissection.

Keywords: Diabetic retinopathy; Décollement postérieur du vitré; Hémorragie du vitré; Pars plana vitrectomy; Posterior vitreous detachment; Rétinopathie diabétique; Syndrome de Terson; Terson's syndrome; Vitrectomie par la pars plana; Vitreous hemorrhage; Vitreous ultrasonography; Échographie du vitré.