Turkish Abstract Abstract Article PDF Similar Articles

Uludağ ÜTF Göz Hastalıkları AD. We retrospectively evaluated the files of 166 cases who were diagnosed as spontaneous vitreous hemorrhage at Uludağ University Medical Faculty Eye Clinic between 1989-1994. The cases were analyzed according to age, sex, involved eye, initial and last best corrected visual acuity, the density of vitreal hemorrhage, etiological factors, associated ocular and systemic pathologies, resorption time of hemorrhage and ultrasonographic results. The causes were proliferative diabetic retinopathy (58.4 %), retinal vein occlusion (17.5 %), retinal tear (5.4 %), hypertensive retinopathy ( 3.6 %), senile macular degeneration (3.6 %), and others (10,8 %). The hemorrhages were resorbed in 2 weeks-34 months' time (mean: 7.7 months) and the cases were followed-up for a mean time of 15 months. The initial mean visual acuity was 0.18 while it reached a mean value of 0.32 at last. The hemorrhages were partial in 134 eyes (7.1 %) and massive in 55 eyes (29 %) a'nd spontaneously resorbed in 111 eyes (58.7 %). The most frequent cause was PDR for both sexes and groups of age. The visual acuities improved in 64 eyes (36.8 %) and were stationary in 74 eyes (42.5 %) while decreasing in 36 eyes (20.7 %). The mean time between the diagnosis of diabetes mellitus and occurrence of vitreal hemorrhage was 14 years. The complications were rubeosis iridis in 8 eyes, recurrent hemorrhage in 7 eyes and neovascular glaucoma in 4 eyes. The associated ocular pathologies were cataract (19.5 %), optic atrophy (2.3 %) and subretinal neovascularization (1.7 %). Keywords : Spontan'vitreous hemorrhage, Etiology, Prognosis