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Spontaneous and traumatic vitreous hemorrhage
M R Dana1, M S Werner, M A Viana
1Department of Ophthalmology and Visual Sciences, Eye and Ear Infirmary, UIC Eye Center, University of Illinois, Chicago College of Medicine.
Ophthalmology
|September 1, 1993
Summary
Vitreous hemorrhage causes vary by demographics. Proliferative diabetic retinopathy is a leading cause, but sickle cell retinopathy and retinal vein occlusion are significant in Black patients, often linked to hypertension.
Area of Science:
- Ophthalmology
- Retinal Diseases
- Vascular Medicine
Background:
- Vitreous hemorrhage (VH) is a common ophthalmic condition with diverse causes.
- Understanding demographic and clinical patterns aids in diagnosing VH etiology.
Purpose of the Study:
- To present data on demographic and clinical aspects of spontaneous and traumatic vitreous hemorrhages.
- To guide clinicians in identifying etiologic patterns of VH in an urban setting.
Main Methods:
- Retrospective analysis of 200 patients with newly diagnosed vitreous hemorrhage.
- Exclusion of patients with selection bias (e.g., tertiary referrals, recent surgery).
- Tabulation of demographic, ocular, and medical variables.
Main Results:
- Fifty percent of patients were Black, 26% White, and 23% Hispanic.
- Leading causes: proliferative diabetic retinopathy (35.2%), trauma (18.3%), retinal vein occlusion (7.4%).
- In Black patients, sickle cell retinopathy and retinal vein occlusion were major causes; hypertension linked to RVO.
Conclusions:
- Demographic, ocular, and medical variables are crucial for identifying VH etiologic patterns.
- Tailored diagnostic approaches can be informed by patient demographics and clinical presentation.