[Vitreous hemorrhage and pre-retinal hemorrhage "without obvious point of origin" in diabetic patients. Apropos of 5 cases].
Five diabetic patients with nonproliferative retinopathy or controlled retinopathy after photocoagulation developed intravitreous or preretinal hemorrhages of unknown origin. Intravitreous hemorrhage of unknown origin is characterized by the absence of angiographic hyperfluorescence suggestive of neovascularization. Examination of the retinal periphery with a three mirror lens reveals the absence of tears and an normally appearing arteriovenous network with no sign of bleeding. The clinical cases reported here demonstrated: 1) the significance of posterior vitreous detachment in the genesis of hemorrhage, 2) the difficulty encountered in assessing the seriousness of the hemorrhage and providing optimal treatment, 3) the importance of initiating treatment early.
Centre Jean Abadie, Clinique Ophtalmologique, Bordeaux.
F
F
Basteau
B
B
Mortemousque
P
P
Verin
D
D
Barac'h
D000328:Adult; D000368:Aged; D003922:Diabetes Mellitus, Type 1 / Q000150:complications; D003924:Diabetes Mellitus, Type 2 / Q000150:complications; D003930:Diabetic Retinopathy / Q000175:diagnosis* / Q000601:surgery; D005260:Female; D005451:Fluorescein Angiography; D006801:Humans; D008028:Light Coagulation; D008297:Male; D008875:Middle Aged; D009389:Neovascularization, Pathologic / Q000175:diagnosis; D012008:Recurrence; D012166:Retinal Hemorrhage / Q000175:diagnosis* / Q000209:etiology / Q000601:surgery; D012171:Retinal Vessels / Q000473:pathology; D020255:Vitreous Detachment / Q000175:diagnosis; D014823:Vitreous Hemorrhage / Q000175:diagnosis* / Q000209:etiology
Hémorragie vitréenne et hémorragie prérétinienne "sans site d'origine évident" chez le diabétique. A propos de 5 cas.