Etiological Analysis of Non Traumatic, Non Diabetic Spontaneous Vitreous Hemorrhage Using Vitrectomy.

Han, Kyu Kin; Lee, Young Hoon; Chang, Young Suk

doi:2015.56.12.1887

J Korean Ophthalmol Soc > Volume 56(12); 2015 > Article

Original Article

Journal of the Korean Ophthalmological Society 2015;56(12):1887-1892.
DOI: https://doi.org/10.3341/jkos.2015.56.12.1887 Published online December 15, 2015.

Etiological Analysis of Non Traumatic, Non Diabetic Spontaneous Vitreous Hemorrhage Using Vitrectomy.

Kyu Kin Han, Young Hoon Lee, Young Suk Chang

Department of Ophthalmology, Konyang University College of Medicine, Daejeon, Korea. 98cys@hanmail.net

비외상성 비당뇨병성 유리체 출혈환자에서 유리체 절제술을 통한 원인 질환 분석

한규진⋅이영훈⋅장영석

건양대학교 의과대학 안과학교실

Received: 15 May 2015 • Revised: 13 July 2015 • Accepted: 22 October 2015

Abstract

PURPOSE
In this study we evaluated and analyzed the causes and prognosis of spontaneous vitreous hemorrhage except direct ocular trauma and diabetic retinopathy-induced vitreous hemorrhage confirmed after therapeutic vitrectomy. METHODS: The present study included Non-traumatic, non-diabetic vitreous hemorrhage patients who underwent vitrectomy in our hospital from March 2010 to December 2013 and were followed up for more than 1 year. Past history, preoperative visual acuity and intraocular pressure were evaluated postoperatively at 1, 3, 6 and 12 months. RESULTS: A total of 157 patients (157 eyes) were included in the study. Common causes of vitreous hemorrhage were branch retinal vein occlusion, retinal tear and age-related macular degeneration. Age-related macular degeneration and central retinal vein occlusion patients showed a poor visual prognosis. Lattice retinal degeneration or retinal tear in the opposite eye was observed in 27 patients and therefore, barrier laser was performed. CONCLUSIONS: The most common cause of spontaneous vitreous hemorrhage was retinal vein occlusion. Visual prognosis varied depending on the cause of disease, but significant vision improvement can be expected if the macula is not involved. Additionally, in some patients without evidence of retinal detachment on ultrasound, a possible retinal tear accompanied by localized retinal detachment should be considered.

Key Words: Spontaneous vitreous hemorrhage