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Cheng Donglin, Wuhan Purui Eye Hospital: What is fundus hemorrhage that needs emergency treatment?

What is fundus hemorrhage?

Fundus hemorrhage refers to the bleeding in the eyeball. The posterior part of the eye consists of the retina, choroid and pigment epithelium, which form the fundus. Fundus hemorrhage is usually caused by the rupture of retinal capillaries. Blood oozes from the ruptured vessels and accumulates in the fundus.

 Cheng Donglin, Wuhan Purui Eye Hospital: What is fundus hemorrhage that needs emergency treatment?

Fundus hemorrhage can be divided into filamentous hemorrhage, patchy hemorrhage and diffuse hemorrhage. Mild fundus hemorrhage may only have some scattered bleeding points, and severe fundus hemorrhage may lead to subretinal hematoma.

The main symptoms of fundus hemorrhage include decreased vision, eyeball pain and visual impairment. If fundus hemorrhage is serious, it may lead to complete loss of vision. Fundus hemorrhage may also be related to other eye diseases such as diabetic retinopathy, hypertensive retinopathy, etc.

Does fundus hemorrhage need urgent treatment?

Whether emergency treatment is needed for fundus hemorrhage depends on the degree and cause of bleeding. Mild fundus hemorrhage usually absorbs itself in a few weeks or so, and patients can recover by resting, avoiding strenuous activities and controlling blood pressure. However, severe fundus hemorrhage may require urgent treatment.

If fundus hemorrhage causes severe vision loss or visual impairment, the patient should immediately go to an eye hospital for treatment. The ophthalmologist will decide whether to perform surgery or other treatment methods according to the specific situation. At the same time, if fundus hemorrhage is related to other eye diseases, such as diabetic retinopathy or hypertensive retinopathy, patients also need to treat the primary disease in time.

In daily life, keeping good eye hygiene, avoiding overuse of eyes and conducting eye examinations regularly can reduce the occurrence of eyeground bleeding.

Diagnosis and treatment of eyeground hemorrhage

Fundus examination is usually required to diagnose fundus hemorrhage. Fundus examination can observe the condition of fundus through magnifying glass or fundus mirror to determine the location and extent of bleeding. Sometimes other auxiliary examinations such as fundus photography and OCT may be required.

For mild fundus hemorrhage, you can usually recover by resting and avoiding strenuous exercise. During the rest period, patients can use some eye care drugs such as eye drops, eye ointment, etc. to promote eye rehabilitation. If fundus hemorrhage is serious or related to other eye diseases, surgery or other special treatment may be required.

Common surgical treatments include laser therapy and vitreous surgery. The laser treatment can coagulate the bleeding points through the laser beam to reduce the bleeding phenomenon. Vitreous surgery is to restore vision by sucking out the vitreous body of eyeball hemorrhage, and then injecting clear intraocular injection. Surgical treatment usually needs to be carried out in an ophthalmic hospital. After surgery, attention should be paid to rest and use of relevant drugs according to the doctor's instructions.

Summary

Fundus hemorrhage is a phenomenon of intraocular hemorrhage, usually caused by retinal capillary rupture. Mild fundus hemorrhage can be recovered by rest and avoiding strenuous exercise. Severe fundus hemorrhage may require emergency treatment, including surgery and other special treatment. The occurrence of eyeground hemorrhage can be prevented by maintaining good eye hygiene and regular inspection. In case of vision loss or other eye symptoms, the patient should go to an eye hospital for diagnosis and treatment in time.

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