ABSTRACT In
a prospective study evaluating vitreous surgery and evacuation of submacula
hemorrhage secondary to massive hemorrhagic detachment of neurosensory retina
and massive vitreous hemorrhage at Ramathibodi Hospital and Eye Ear Nose Throat
Hospital, Bangkok between January 1989 and December 1994, eight patients were
seen and six of them underwent surgical intervention.
The patients'age ranged
from 42 to 70 years, with a mean + - SD of 53.1 + - 9.2 years. Of the 8
patients, five were male and three were female. Seven occurred in the right
eye and tl,e other in the left. Four patients had preop visual acuity of
light perception; two had hand motion and the other two lost vision to no
light perception secondary to angle closure glaucoma from massive intraocular
hemorrhage prior to vitreous surgery.
The time duration between
onset of blurring vision to vitreous surgery ranged from 7 to 30 days (X +
- SD = 17.6 + - 7.9 days) and the follow up period was at least 12 months.
Ocular cause of massive hemorrhage was aging macula degeneration in 2 eyes,
otherwise was undetermined. Other abnormal medical conditions were chronic
bronchitis in 3 patients, diabetes mellitus in 2 patients, hypertension in
one patient, abnormal coagulogram in 2 patients and hyperopia in another patient.
Post operative visual acuity
were 20/70-15/200 in 2 eyes and 5/200 in 4 eyes.
