Open AccessClinical profile and management of vitreous hemorrhage in tertiary eye care centre in Nepal
Author(s) -
Laxmi Devi Manandhar,
Raba Thapa,
G Poudyal
Publication year - 2020
Publication title -
nepalese journal of ophthalmology
Language(s) - English
Resource type - Journals
eISSN - 2091-0320
pISSN - 2072-6805
DOI - 10.3126/nepjoph.v12i1.30338
Subject(s) - medicine , vitreous hemorrhage , emergency department , etiology , red eye , outpatient clinic , branch retinal vein occlusion , central retinal vein occlusion , presentation (obstetrics) , ophthalmology , vitrectomy , surgery , visual acuity , macular edema , psychiatry
Vitreous hemorrhage is one of the most common diseases presenting to emergency department and leading cause of painless vision loss.
Objectives: To determine the profile of vitreous hemorrhage in patients presented to Outpatient Department (OPD) and emergency Department of Tilganga Institute of Ophthalmology (TIO).
Materials and methods: This is a hospital based observational non interventional descriptive study. Total 198 patients were enrolled who visited OPD and Emergency department of TIO from August 1st 2012 to July 30th 2013.
Result: Total 198 patients (201 eyes) were enrolled for the study, out of which 144 were male and 54 females. 195 were unilateral and 3 bilateral cases. Most common age group of presentation of vitreous hemorrhage was 51-60 years (24.75%). Most common presenting complaint was sudden onset of decreased vision (95%). Most common etiology of vitreous hemorrhage was branch retinal vein occlusion (22.38%). Among the total subjects, 57.7% of the patient were managed with medical therapy, 35.8% surgically and 6.47 % with combined medical and surgical treatment.
Conclusion: Branch retinal vein occlusion (BRVO) is the most common cause of vitreous hemorrhage. Diabetes and hypertension are the most commonly associated systemic illnesses.