Retinal hemorrhage leading to floaters?
Hello doctor, I would like to ask if retinal hemorrhage with floaters is serious? Is it still possible to wear contact lenses in this case?
ccc, 20~29 year old female. Ask Date: 2017/03/13
Dr. He Jianxian reply Ophthalmology
To determine the severity of retinal hemorrhage, it is essential to identify the underlying issue.
Hemorrhages associated with diabetic retinopathy, retinal tears, or vascular occlusions are generally considered more serious.
Additionally, there can be unexplained bleeding caused by vitreous detachment that pulls on blood vessels, but this is quite rare.
Retinal hemorrhage is not related to wearing contact lenses.
Reply Date: 2017/03/13
More Info
Retinal hemorrhage can indeed have a significant impact on the perception of floaters, which are often described as small spots, lines, or cobweb-like structures that drift across your field of vision. These floaters are typically caused by changes in the vitreous gel that fills the eye, which can become more liquid and pull away from the retina, leading to the perception of these visual disturbances. When retinal hemorrhage occurs, it can introduce blood into the vitreous cavity, which may exacerbate the floaters or create new ones, often appearing as dark spots or shadows in your vision.
The severity of floaters associated with retinal hemorrhage can vary widely. In some cases, they may be mild and not significantly affect vision, while in others, they can be quite pronounced and distracting. If the hemorrhage is substantial, it can lead to more severe visual disturbances, including blurred vision or even vision loss, depending on the extent of the bleeding and its location in relation to the retina.
Regarding the use of contact lenses during this time, it is generally advisable to consult with your eye care professional. If you are experiencing significant floaters or any other visual disturbances due to retinal hemorrhage, wearing contact lenses may not be recommended. This is because contact lenses can sometimes exacerbate discomfort or irritation, especially if there is any underlying inflammation or if the eye is not in optimal health. Additionally, if there is a risk of complications from the hemorrhage, such as retinal detachment, it is crucial to prioritize the health of your eyes over cosmetic considerations.
In terms of management, the treatment for retinal hemorrhage largely depends on the cause and severity of the bleeding. In many cases, small hemorrhages may resolve on their own without intervention. However, if the hemorrhage is significant or if it is associated with other complications, such as retinal detachment or significant vision loss, more aggressive treatment may be necessary. This could include procedures such as vitrectomy, where the vitreous gel and any blood are removed from the eye, allowing for clearer vision and reducing the risk of further complications.
It is also essential to monitor for any additional symptoms that may indicate worsening of the condition, such as sudden increases in floaters, flashes of light, or a curtain-like shadow over your vision. These symptoms could indicate a more serious issue, such as retinal detachment, which requires immediate medical attention.
In summary, while floaters associated with retinal hemorrhage can be concerning, their severity can vary. It is crucial to maintain open communication with your eye care provider regarding your symptoms and any changes in your vision. They can provide personalized advice on the use of contact lenses and the best course of action for your specific situation. Always prioritize your eye health and seek prompt medical attention if you notice any significant changes in your vision.
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