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Vitreous haemorrhage in children

M G Wirth1, H Helbig

  • 1Department of Ophthalmology, University Hospital Zurich, Switzerland. gabriela.wirth@usz.ch

Klinische Monatsblatter Fur Augenheilkunde
|May 18, 2006
PubMed

Insights

Vitreous hemorrhage in young children, often caused by trauma, can resolve quickly. Observation may be suitable, with early amblyopia treatment ensuring good visual outcomes.

Area of Science:

  • Ophthalmology
  • Pediatric Ophthalmology
  • Trauma Research

Background:

  • Vitreous hemorrhage in early childhood is uncommon and may present with subtle symptoms.
  • Early diagnosis is crucial for managing potential vision loss.

Observation:

  • Three children (1, 2, and 6 years old) without a history of trauma presented with squint or unreactive pupils.
  • All three children were diagnosed with unilateral dense vitreous hemorrhage.

Findings:

  • Two children experienced rapid clearing of vitreous opacities within weeks, avoiding surgery.
  • Investigations revealed signs of ocular trauma (angle recession, RPE scars, orbital fracture) in all cases.
  • The 6-year-old underwent vitrectomy; all patients received early amblyopia treatment with good visual outcomes.

Implications:

  • Ocular trauma is a probable cause of vitreous hemorrhage in young children.
  • Observation can be a viable management strategy due to rapid vitreous resorption in children.
  • Prompt amblyopia treatment is essential for favorable visual prognoses.
Abstract

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