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I have bleeding behind one of my eyes I do not have ...


Sent to Health Experts April 06, 2006 10:36 a.m.

I have bleeding behind one of my eyes I do not have high blood pressure and am not diabetic what else could it be ?

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Female , Age: 56

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April 06, 2006 10:43 a.m. (6 minutes and 52 seconds later)

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PictureCheryl K.  -- Medical Assistant -- 100% Positive Feedback on 3313 Health Accepts
Gen. Medicine/OB/GYN Infectious Disease /STD/Sexual Health/ Orthopaedics/ Pediatrics/Internal
Answer
April 06, 2006 11:06 a.m. (23 minutes and 19 seconds later)
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Hi,
My wife is an Opthalmologist. This is her opinion.

The main reasons for bleeding behind eye (known as vitreous hemorrhage) is diabetic retinopathy. Since that is not your case then there can be other causes-

  • Posterior vitreous detachment (PVD)- this is the separation of the vitreous from the retina. While separating sometimes it pulls on some blood vessel and can cause bleeding. This usually resolves on its own.
  • Central retinal venous obstruction (CRVO)- this is sudden occlusion of the central retinal vein. Usually seen in patients with hypertension, but is also seen in patients with bleeding disorders.
  • Subretinal neovascular membrane in ARMD- this is seen in older age group. Once the blood is absorbed then you need to undergo FFA to rule it out.
  • Angitis - this is of rare occurance. It is imflammation around the blod vessels and causes bleeding in one eye.

The blood should subside in 5-7 days. Then you need to get a detailed retinal examination, FFA and various investigations to rue out angitis like ESR, complete blood count, ANA, chest X ray, serum electrolytes etc.

In the meantime you need to follow a few precautions-

  • always keep a couple of pillows under your head while sleeping
  • donot lift any heavy weights or strain

No need to worry, usually these vitreous bleeds donot reoccur and resolve very fast

Please remember to accept the reply if you find it useful. A BONUS and a positive rating would be duly appreciated,
regards
Dr. Gupta

PictureGaurav Gupta  -- Doctor (MD) -- 97% Positive Feedback on 4597 Health Accepts
Physician, online medical researcher, & will try to listen and understand you

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