Intraocular hemorrhage is a serious eye condition that occurs when the blood vessels inside the eye rupture or leak, causing blood to accumulate within the eye. The accumulation of blood inside the complex structures of the eye directly affects visual function. Depending on the location, amount and cause of the bleeding, vision loss may range from mild blurriness to complete loss of vision.
Op. Dr. Diclehan emphasizes that intraocular hemorrhages are an emergency condition and that if not treated promptly, they may lead to permanent vision loss.
Subconjunctival Hemorrhage
This type of bleeding occurs beneath the conjunctiva and is usually harmless. It appears as bright red patches on the white part of the eye. It may result from simple causes such as trauma, sudden coughing, sneezing or the use of blood-thinning medications.
This occurs when blood leaks into the vitreous cavity — the gel-like substance filling the inside of the eye. Symptoms include dark floating spots, shadows and flashes of light in the visual field. Diabetic retinopathy is the most common cause of vitreous hemorrhage.
Op. Dr. Diclehan states that vitreous hemorrhage is one of the highest-risk causes of vision loss and that treatment should never be delayed.
This type of bleeding results from rupture of the small retinal blood vessels and may significantly impair visual acuity. It is most often seen in patients with hypertension, vascular occlusions and diabetes.
This occurs when blood accumulates in the anterior chamber between the iris and the cornea — usually after trauma. It blocks the visual axis and requires urgent medical treatment.
Trauma
Sports injuries, falls, traffic accidents or blunt force trauma to the eye are among the most common causes.
Coagulation defects or uncontrolled use of anticoagulants increase the risk of bleeding.
Retinal tears, vascular occlusions and eye tumors are other important causes.
Op. Dr. Diclehan stresses the importance of regular eye examinations especially for diabetic patients to reduce the risk of intraocular bleeding.
The severity of symptoms varies according to the location and size of the hemorrhage.
Eye Examination
Visual acuity and intraocular pressure are assessed during a detailed ophthalmologic evaluation.
Used to determine the location and extent of bleeding in the retina and vitreous.
Helps visualize the inner structures of the eye when dense hemorrhage limits visibility.
Reveals vascular blockages and leakage areas in detail.
Op. Dr. Diclehan emphasizes that using modern imaging technology plays a key role in accurate diagnosis and successful treatment.
Depending on the cause, corticosteroids, vascular-strengthening medications or regulation of blood-thinning drugs may be required.
In diabetic retinopathy-related hemorrhages, abnormal vessels are sealed with laser treatment to prevent further bleeding.
Commonly used in vitreous hemorrhage the blood-filled vitreous gel is removed and replaced with special solutions.
Controlling diabetes, hypertension and blood disorders is critical to preventing recurrence.
Op. Dr. Diclehan notes that with regular follow-up and early treatment — especially in diabetic individuals — the risk of vision loss can be significantly reduced.
Intraocular hemorrhage is a serious eye condition that should never be ignored. With early diagnosis and appropriate treatment, vision loss can often be prevented. People with risk factors such as diabetes and hypertension should undergo regular eye examinations.
Op. Dr. Diclehan emphasizes that anyone experiencing intraocular bleeding should seek urgent evaluation by an eye specialist, as early intervention is the most effective way to prevent permanent vision loss.
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