Hemorrhage three months after vitrectomy?
Hello, my mother has diabetes and underwent a vitrectomy in May of this year.
She hasn't had any issues post-surgery until today (three months after the surgery) when she noticed some bleeding in her eye.
Is this normal, or should she go back to the hospital quickly?
Xiang, 20~29 year old female. Ask Date: 2021/08/23
Dr. He Jianxian reply Ophthalmology
The bleeding you mentioned is likely a subconjunctival hemorrhage, which is visible on the surface of the eyeball.
If it is indeed a subconjunctival hemorrhage, there is no need for concern as it will resolve on its own without leaving any lasting effects.
However, if you have any worries or discomfort, it is advisable to return to your surgeon for further evaluation.
Dr.
Ho Chien-Hsien, Ophthalmology Department, Nantou Hospital.
Reply Date: 2021/08/23
More Info
After vitreous surgery, experiencing some bleeding three months post-operation can be concerning, especially for patients with underlying conditions such as diabetes. However, it is essential to understand the context and nature of the bleeding to determine whether it is normal or requires immediate medical attention.
In many cases, post-operative bleeding can occur due to various reasons, including the healing process of the eye, the presence of residual blood from the surgery, or even new bleeding due to complications. For instance, if the bleeding is superficial, such as subconjunctival hemorrhage (where blood accumulates under the conjunctiva), it is often harmless and resolves on its own without any long-term effects. This type of bleeding can appear alarming but is typically not a cause for concern.
However, if the bleeding is more significant or if it is accompanied by other symptoms such as pain, vision changes, or increased floaters, it may indicate a more serious issue, such as a retinal detachment or a hemorrhage within the eye (vitreous hemorrhage). Given your mother's history of diabetes, she is at a higher risk for complications such as diabetic retinopathy, which can lead to further bleeding and vision problems.
In general, if the bleeding is minor and there are no accompanying symptoms, it may be safe to monitor the situation. However, it is always prudent to err on the side of caution, especially with a history of eye surgery and diabetes. If there is any doubt or if the bleeding persists or worsens, it is advisable to contact the ophthalmologist or return to the hospital for a thorough examination. The doctor may perform a dilated eye exam or imaging studies to assess the condition of the retina and vitreous.
In summary, while minor bleeding after vitreous surgery can be normal, especially if it is superficial, any significant changes or concerns should prompt a visit to the eye care provider. Regular follow-ups and monitoring are crucial for patients with diabetes to prevent complications and ensure optimal eye health.
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