Acute-Onset Vitreous Hemorrhage of Unknown Origin before Vitrectomy: Causes and Prognosis
Purpose. To analyze causes and prognosis of acute-onset preoperatively unknown origin vitreous hemorrhage (VH). Methods. This study included patients who underwent vitrectomy for acute-onset preoperatively unknown origin VH. The underlying causes of VH, which were identified after vitrectomy, were a...
Saved in:
| Main Authors: | , , , , , |
|---|---|
| Format: | Article |
| Language: | English |
| Published: |
Wiley
2015-01-01
|
| Series: | Journal of Ophthalmology |
| Online Access: | http://dx.doi.org/10.1155/2015/429251 |
| Tags: |
Add Tag
No Tags, Be the first to tag this record!
|
| _version_ | 1832563773400940544 |
|---|---|
| author | Dong Yoon Kim Soo Geun Joe Seunghee Baek June-Gone Kim Young Hee Yoon Joo Yong Lee |
| author_facet | Dong Yoon Kim Soo Geun Joe Seunghee Baek June-Gone Kim Young Hee Yoon Joo Yong Lee |
| author_sort | Dong Yoon Kim |
| collection | DOAJ |
| description | Purpose. To analyze causes and prognosis of acute-onset preoperatively unknown origin vitreous hemorrhage (VH). Methods. This study included patients who underwent vitrectomy for acute-onset preoperatively unknown origin VH. The underlying causes of VH, which were identified after vitrectomy, were analyzed. And overall visual prognosis of unknown origin VH was analyzed. Risk scoring system was developed to predict visual prognosis after vitrectomy. Results. 169 eyes were included. Among these, retinal vein occlusion (RVO), retinal break, and age-related macular degeneration (AMD) were identified in 74 (43.8%), 50 (29.6%), and 21 (12.4%) patients, respectively. After vitrectomy, logMAR BCVA significantly improved from 1.93±0.59 to 0.47±0.71. However, postoperative BCVA in AMD eyes were significantly poorer than others. Poor visual prognosis after vitrectomy was associated with old age, poor preoperative vision in both eyes, and drusen in the fellow eye. Conclusions. RVO, retinal break, and AMD are the most common causes of acute-onset preoperatively unknown origin VH and the most common causes of VH change with age. The visual prognosis of unknown origin VH is relatively good, except among AMD patients. Older patients with poor preoperative BCVA in both eyes and patients with AMD in the fellow eye are at a higher risk of poor visual prognosis following vitrectomy. |
| format | Article |
| id | doaj-art-53eb9025e04f4c619a802aad7b1e9e2a |
| institution | Kabale University |
| issn | 2090-004X 2090-0058 |
| language | English |
| publishDate | 2015-01-01 |
| publisher | Wiley |
| record_format | Article |
| series | Journal of Ophthalmology |
| spelling | doaj-art-53eb9025e04f4c619a802aad7b1e9e2a2025-02-03T01:12:35ZengWileyJournal of Ophthalmology2090-004X2090-00582015-01-01201510.1155/2015/429251429251Acute-Onset Vitreous Hemorrhage of Unknown Origin before Vitrectomy: Causes and PrognosisDong Yoon Kim0Soo Geun Joe1Seunghee Baek2June-Gone Kim3Young Hee Yoon4Joo Yong Lee5Department of Ophthalmology, College of Medicine, Chungbuk National University, Cheongju, Republic of KoreaDepartment of Ophthalmology, Gangneung Asan Hospital, University of Ulsan, College of Medicine, Gangneung, Republic of KoreaDepartment of Clinical Epidemiology and Biostatistics, Asan Medical Center, University of Ulsan, College of Medicine, Seoul, Republic of KoreaDepartment of Ophthalmology, Asan Medical Center, University of Ulsan, College of Medicine, 88 Olympic-ro 43-gil, Songpa-gu, Seoul 138-736, Republic of KoreaDepartment of Ophthalmology, Asan Medical Center, University of Ulsan, College of Medicine, 88 Olympic-ro 43-gil, Songpa-gu, Seoul 138-736, Republic of KoreaDepartment of Ophthalmology, Asan Medical Center, University of Ulsan, College of Medicine, 88 Olympic-ro 43-gil, Songpa-gu, Seoul 138-736, Republic of KoreaPurpose. To analyze causes and prognosis of acute-onset preoperatively unknown origin vitreous hemorrhage (VH). Methods. This study included patients who underwent vitrectomy for acute-onset preoperatively unknown origin VH. The underlying causes of VH, which were identified after vitrectomy, were analyzed. And overall visual prognosis of unknown origin VH was analyzed. Risk scoring system was developed to predict visual prognosis after vitrectomy. Results. 169 eyes were included. Among these, retinal vein occlusion (RVO), retinal break, and age-related macular degeneration (AMD) were identified in 74 (43.8%), 50 (29.6%), and 21 (12.4%) patients, respectively. After vitrectomy, logMAR BCVA significantly improved from 1.93±0.59 to 0.47±0.71. However, postoperative BCVA in AMD eyes were significantly poorer than others. Poor visual prognosis after vitrectomy was associated with old age, poor preoperative vision in both eyes, and drusen in the fellow eye. Conclusions. RVO, retinal break, and AMD are the most common causes of acute-onset preoperatively unknown origin VH and the most common causes of VH change with age. The visual prognosis of unknown origin VH is relatively good, except among AMD patients. Older patients with poor preoperative BCVA in both eyes and patients with AMD in the fellow eye are at a higher risk of poor visual prognosis following vitrectomy.http://dx.doi.org/10.1155/2015/429251 |
| spellingShingle | Dong Yoon Kim Soo Geun Joe Seunghee Baek June-Gone Kim Young Hee Yoon Joo Yong Lee Acute-Onset Vitreous Hemorrhage of Unknown Origin before Vitrectomy: Causes and Prognosis Journal of Ophthalmology |
| title | Acute-Onset Vitreous Hemorrhage of Unknown Origin before Vitrectomy: Causes and Prognosis |
| title_full | Acute-Onset Vitreous Hemorrhage of Unknown Origin before Vitrectomy: Causes and Prognosis |
| title_fullStr | Acute-Onset Vitreous Hemorrhage of Unknown Origin before Vitrectomy: Causes and Prognosis |
| title_full_unstemmed | Acute-Onset Vitreous Hemorrhage of Unknown Origin before Vitrectomy: Causes and Prognosis |
| title_short | Acute-Onset Vitreous Hemorrhage of Unknown Origin before Vitrectomy: Causes and Prognosis |
| title_sort | acute onset vitreous hemorrhage of unknown origin before vitrectomy causes and prognosis |
| url | http://dx.doi.org/10.1155/2015/429251 |
| work_keys_str_mv | AT dongyoonkim acuteonsetvitreoushemorrhageofunknownoriginbeforevitrectomycausesandprognosis AT soogeunjoe acuteonsetvitreoushemorrhageofunknownoriginbeforevitrectomycausesandprognosis AT seungheebaek acuteonsetvitreoushemorrhageofunknownoriginbeforevitrectomycausesandprognosis AT junegonekim acuteonsetvitreoushemorrhageofunknownoriginbeforevitrectomycausesandprognosis AT youngheeyoon acuteonsetvitreoushemorrhageofunknownoriginbeforevitrectomycausesandprognosis AT jooyonglee acuteonsetvitreoushemorrhageofunknownoriginbeforevitrectomycausesandprognosis |