Vitreous Homorrhage in Lampang Hospital

Surapong Orprayoon MD.*,
Watanee T. Jenchitr MD.*
*Department of Ophthalmology, Lampang Hospital.

    Abstract One hundred and eight cases of vitreous hemorrhage, representing 0.2% of the total number of 47.356 out patients that were seen at the eye clinic of Lampang Hospital from October 1982 to September 1986 were studied retrospectively. The female retio was 67:41, and the ages ranged from 6 to 91 years. The causes of vitreous hemorrhage were evaluated. The five most common causes which accounted for 80% of the cases, were traumma (35.2%), which mostly blunt, diabetic retinopathy (13.9%) retinitis and retinal vasculitis from uveitis (14.8%), branch and central retinal vein occlusion (9.2%) and seneccent macular degeneration (7.4%).

    Other diagnosis accounting for a significant number of cases included hypertensiion, retinal break, and parasitic infection. The remaining unexplained causes of vitreous hemorrhage were associated with retinitis pigmentosa, carcinoma of the lung with choroidal metastasis, high myopia, and two case of post operative trabeculectomy. Symptomatic treatment and treatment of hypertension os diabetes were done. Trauma had the best prognosis with more than 50% of the cases attaining 20/70 vision or over, within 14.3 months (1-48). In diabetic cases photocoagulation and vitrectomy were done. Parasitic retinitis had the worst prognosis.

Thai J Ophthalmolol 1988; December 1(2):67-71.