Retinal Hemorrhage: Symptoms, Causes, and When to Seek Help

Q: Retinal Hemorrhage: Symptoms, Causes, and When to Seek Help

Hello, Ah Wei： Retinal hemorrhage is usually related to vascular issues, and hypertension is also a contributing factor. <br>If the physician has not indicated any treatment, it is likely that you should just observe the condition and have regular follow-ups. <br>You can schedule

Regarding retinal hemorrhage?

Hello, Dr.
Gao.
Today, I went to a clinic for a routine fundus examination [non-dilated photography] and funduscopy, and I discovered some minor hemorrhages and small blood clots in both eyes [located in the lower left corner of the image].
However, I do not experience any symptoms like "ink blot" spots or a "black curtain." When I asked the attending physician whether I have any issues related to hypertension or if I experienced any external trauma, he only mentioned that I have high blood pressure [which I have not been controlling with medication due to my stubbornness].
Before the Lunar New Year, I specifically had blood tests done for thyroid function, and my glycated hemoglobin was 5.3, with a fasting blood glucose level of around 100 ± 1.
[When I got home today, I measured my postprandial blood glucose twice, and both readings were normal.] He suggested that I return to the metabolic department for further blood tests but did not provide any specific treatment.
So, Dr.
Gao, should I just continue to observe the situation? Additionally, aside from regular follow-ups every 3 to 6 months, are there any symptoms I should be aware of that would require immediate consultation? Thank you for your guidance on this first-time experience!

Awei, 30~39 year old female. Ask Date: 2022/04/05

Dr. Gao Pilin reply Ophthalmology

Hello, Ah Wei: Retinal hemorrhage is usually related to vascular issues, and hypertension is also a contributing factor.
If the physician has not indicated any treatment, it is likely that you should just observe the condition and have regular follow-ups.
You can schedule a follow-up every three months and return as directed by your physician.
Small hemorrhages typically do not present any symptoms, so examination is necessary to detect them.
It may be advisable to consult an internal medicine specialist at this time.

Reply Date: 2022/04/05

More Info

Retinal hemorrhage, or bleeding in the retina, can be a concerning condition that may indicate underlying health issues. Understanding the symptoms, causes, and when to seek medical help is crucial for effective management and treatment.

Symptoms of Retinal Hemorrhage
Patients with retinal hemorrhage may experience a variety of symptoms, although some may not notice any immediate changes in their vision. Common symptoms include:
1. Visual Disturbances: This can manifest as blurred vision, dark spots (floaters), or shadows in the field of vision. Some patients describe seeing "inkblot" patterns or having a "curtain" effect over their vision.

2. Light Sensitivity: Increased sensitivity to light can occur, leading to discomfort in bright environments.

3. Eye Pain or Discomfort: Some individuals may experience pain or a feeling of pressure in the eye.

4. Changes in Color Perception: In some cases, patients may notice changes in how colors appear.

Causes of Retinal Hemorrhage
Retinal hemorrhage can result from various factors, including:
1. Hypertension: High blood pressure is a significant risk factor for retinal hemorrhage. It can cause damage to the blood vessels in the retina, leading to bleeding.

2. Diabetes: Diabetic retinopathy is a common complication of diabetes that can lead to retinal hemorrhage due to damage to the retinal blood vessels.

3. Trauma: Any physical injury to the eye can result in bleeding within the retina.

4. Blood Disorders: Conditions that affect blood clotting, such as thrombocytopenia or hemophilia, can increase the risk of bleeding.

5. Age-Related Changes: As people age, the risk of retinal hemorrhage increases due to degenerative changes in the retina.

When to Seek Help
If you notice any of the following symptoms, it is essential to seek medical attention promptly:
- Sudden changes in vision, such as a significant increase in floaters or flashes of light.

- A sudden loss of vision or a "curtain" effect in your field of vision.

- Persistent eye pain or discomfort that does not improve.

- Any new symptoms that are concerning or unusual for you.

Management and Follow-Up
In your case, since you have been diagnosed with small retinal hemorrhages and have a history of high blood pressure, it is crucial to manage your blood pressure effectively. Regular monitoring and medication adherence are essential to prevent further complications. Your doctor’s recommendation to follow up with a metabolic specialist for blood tests is also wise, as it can help rule out any underlying metabolic issues that might contribute to your condition.

Regular Monitoring
Regular follow-up appointments every 3 to 6 months are advisable to monitor the condition of your retina. During these visits, your eye doctor will assess the status of the hemorrhages and check for any changes in your vision. If you experience any new symptoms or if your current symptoms worsen, do not hesitate to contact your healthcare provider for an earlier appointment.

Conclusion
Retinal hemorrhage can be a sign of serious underlying health issues, particularly related to blood pressure and diabetes. Understanding the symptoms and causes can help you take proactive steps in managing your eye health. Regular check-ups and maintaining a healthy lifestyle are key components in preventing further complications. If you have any concerns or notice changes in your vision, it is always best to consult with your eye care professional.

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