eMedicine Specialties > Ophthalmology > Vitreous
Hemorrhage, Vitreous: Differential Diagnoses & Workup
Updated: Feb 13, 2007
- Overview
- Differential Diagnoses & Workup
- Treatment & Medication
- Follow-up
Differential Diagnoses
Other Problems to Be Considered
Most commonly encountered differential diagnoses in decreasing order of frequency include the following:
Proliferative diabetic retinopathyPosterior vitreous detachment
Trauma (blunt or penetrating, including shaken baby syndrome/child abuse)
Retinal tear
Retinal vein occlusion
Hypertensive retinopathy
Subarachnoid hemorrhage (Terson syndrome)
Avulsed retinal vessels
Age-related macular degeneration
Radiation retinopathy
MacroaneurysmsOthers rare causes of vitreous hemorrhage include the following:Complications of surgical procedures Retinal laser photocoagulation
Intruding (scleral erosion) scleral buckle
Trabeculectomy
Globe perforation during retrobulbar or peribulbar surgery/anesthesia
Intraocular lens implantation or removal
Neovascularization from cataract woundTumors Malignant choroidal melanoma
Melanocytoma of optic nerve disc
Astrocytic hamartoma of the retina
Retinoblastoma
Cavernous hemangioma of optic nerve discVascular/neovascular Coats disease/retinal telangiectasia
Retinopathy of prematurity (ROP)
Ocular ischemic syndrome
Branch retinal artery occlusion
Central retinal artery occlusion
Retinal angiomatosis
Retinal vasculitis
Hyperviscosity syndrome
Sarcoid posterior uveitis
Persistent hyaloid artery
Congenital prepapillary
Vascular loop venous stasis retinopathy
Dominant (familial) exudative vitreoretinopathy
Incontinentia pigmenti
Norrie diseaseInflammation Behçet disease
Presumed ocular histoplasmosis syndrome
Eales disease
Uveitis (including pars planitis)
Syphilitic retinitis
Dermatomyositis
Systemic lupus erythematosus (SLE)
Toxocara Hematologic disorders Thrombocytopenia
Idiopathic thrombocytopenia purpura
Thrombotic thrombocytopenic purpura
Leukemia
Hemophilia
Disseminated intravascular coagulation
Protein C deficiency
Antiphospholipid antibodies
Von Willebrand syndromeMiscellaneous causes Talc retinopathy
Retinitis
Pigmentosa Valsalva retinopathy
Workup
Laboratory Studies
- Consider ordering laboratory studies as per the suspected underlying etiology and its corresponding differential diagnosis. See Differentials.
Imaging Studies
- Consider ordering imaging studies as per the suspected underlying etiology and its corresponding differential diagnosis.
- With CT scan and/or MRI, exclude globe perforation, intraocular foreign body, avulsed optic nerve, intraocular tumor, displaced scleral buckle, and intraocular lens materials. See Differentials.
- Ocular B-scan ultrasonography is used when the media is opacified enough to preclude a complete and clear (including view of the ora serrata) funduscopic examination.
More on Hemorrhage, Vitreous |
| Overview: Hemorrhage, Vitreous |
Differential Diagnoses & Workup: Hemorrhage, Vitreous |
| Treatment & Medication: Hemorrhage, Vitreous |
| Follow-up: Hemorrhage, Vitreous |
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References
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Further Reading
Keywords
vitreous hemorrhage, retinal vascular tears, neovascularization of the retina, retinal neovascularization, retinal detachment, proliferative diabetic retinopathy, posterior vitreous detachment
Differential Diagnoses & Workup: Hemorrhage, Vitreous