Can Macular Hemorrhage in the Left Eye Heal on Its Own?

Q: Can Macular Hemorrhage in the Left Eye Heal on Its Own?

Hello： If your right eye has already been treated under the guidance of a physician and the symptoms have been controlled, you can continue to closely monitor the condition of your right eye. <br>However, since your left eye has exhibited similar symptoms, it is advisable to prom

Will the blood clot in the macula of the left eye absorb on its own?

In February 2021, I experienced a similar condition in my right eye and visited the Hsinchu Affiliated Hospital of China Medical University.
The doctor advised that it is generally best to wait for the hemorrhage to resolve on its own, and that surgery is not necessary; treatment can be managed with hemostatic medications or eye drops.
However, this year, the same issue has occurred in my left eye.
It may have been caused by exerting too much effort during push-ups or other activities that increased thoracic pressure, affecting my eyes.
I am unsure if I need to seek medical attention again.
Could you please advise me, doctor? Thank you.

Wang Zongjun, 30~39 year old female. Ask Date: 2023/04/02

Dr. Gao Pilin reply Ophthalmology

Hello: If your right eye has already been treated under the guidance of a physician and the symptoms have been controlled, you can continue to closely monitor the condition of your right eye.
However, since your left eye has exhibited similar symptoms, it is advisable to promptly visit an ophthalmologist for an examination to determine the specific cause of the symptoms.
If the bleeding in your eye is indeed due to push-ups or other activities, it is important to avoid excessive strain and reduce the intensity of your activities to prevent recurrence of the bleeding.
Macular hemorrhage is a serious ophthalmic condition that, if not treated in a timely manner, may lead to vision loss, so it should not be taken lightly.

Reply Date: 2023/04/02

More Info

Macular hemorrhage, or bleeding in the macula, can indeed heal on its own in some cases, particularly if the bleeding is not extensive and the underlying cause is addressed. The macula is the central part of the retina responsible for sharp, detailed vision, and hemorrhages in this area can lead to significant visual disturbances.
In your case, since you have experienced a similar issue in your right eye previously and were advised that the bleeding would likely resolve on its own with supportive treatment, it is reasonable to consider that the same might apply to your left eye. However, there are several important factors to consider:
1. Severity of the Hemorrhage: The extent of the hemorrhage plays a crucial role in determining whether it will resolve on its own. Small, localized hemorrhages often absorb without intervention, while larger or more complicated cases may require medical treatment.

2. Underlying Conditions: If there are underlying conditions such as hypertension, diabetes, or retinal vascular diseases, these need to be managed to prevent further episodes of hemorrhage. If you have any of these conditions, it is essential to have them under control.

3. Symptoms: If you are experiencing significant visual disturbances, such as blurred vision, distortion, or a sudden decrease in vision, it is advisable to seek medical attention. These symptoms could indicate that the hemorrhage is affecting your vision more severely than anticipated.

4. Follow-Up Care: Regular follow-up with an eye care professional is crucial. They can monitor the progress of the hemorrhage and assess whether it is resolving as expected. They may also perform imaging tests, such as optical coherence tomography (OCT), to evaluate the macula's condition.

5. Treatment Options: While many cases of macular hemorrhage resolve on their own, some may require treatment. This could include medications to reduce inflammation or improve blood flow, or in more severe cases, surgical interventions such as vitrectomy to remove the blood.

6. Lifestyle Modifications: If you suspect that physical activities, such as doing push-ups, may have contributed to the hemorrhage, it might be wise to modify your exercise routine. Avoiding activities that increase intraocular pressure can help prevent further bleeding.

7. Consultation with an Eye Specialist: Given your history and the current situation, it is advisable to consult with an ophthalmologist. They can provide a thorough examination and determine the best course of action based on your specific circumstances.

In summary, while macular hemorrhages can heal on their own, it is essential to monitor the situation closely and seek medical advice if symptoms worsen or do not improve. Regular check-ups with an eye care professional will help ensure that any potential complications are addressed promptly.

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