Retinal Hemorrhage: Is It Eye Stroke or High Blood Pressure? - Ophthalmology

Share to:

About retinal vascular occlusion?


Hello, doctor.
Due to being overweight during my school years and possibly having a hereditary blood pressure issue, I experienced retinal hemorrhage, which affected my vision.
Later, the ophthalmologist said that as long as I lower my blood pressure, my vision would recover.
I have since managed to control my blood pressure well, and my vision has returned to 20/20.
I would like to ask the doctor if this is considered an ocular stroke, or was it simply retinal hemorrhage caused by high blood pressure? Thank you for your response!

Niming, 20~29 year old female. Ask Date: 2014/09/09

Dr. He Jianxian reply Ophthalmology


Extremely high blood pressure can cause retinal patch hemorrhages.
If the bleeding is due to this condition, simply lowering the blood pressure will lead to natural resolution; it is not a stroke.

Reply Date: 2014/09/09

More Info


Understanding retinal hemorrhage and its implications can be quite complex, especially when considering the potential causes such as high blood pressure and the risk of eye stroke (also known as retinal vascular occlusion). In your case, it seems that your retinal hemorrhage was primarily linked to elevated blood pressure rather than an eye stroke.

Retinal hemorrhage occurs when blood vessels in the retina break, leading to bleeding in the retinal tissue. This condition can be caused by various factors, with hypertension being one of the most common culprits. When blood pressure is excessively high, it can cause damage to the delicate blood vessels in the eyes, resulting in bleeding. This is particularly relevant in your situation, as you mentioned having a history of high blood pressure, which has now been controlled effectively.

On the other hand, an eye stroke typically refers to a blockage of blood flow to the retina, which can lead to sudden vision loss. This condition is often associated with risk factors such as high blood pressure, diabetes, and high cholesterol. However, the symptoms of an eye stroke can be quite distinct, often presenting as sudden vision changes, such as a loss of vision in one eye or the appearance of a curtain over the visual field. In your case, since you have not experienced such symptoms and your vision has returned to normal, it is unlikely that you have suffered an eye stroke.

It is essential to monitor your eye health regularly, especially given your history of hypertension. Regular eye examinations can help detect any changes in your retinal health and allow for timely intervention if necessary. Your ophthalmologist may recommend follow-up appointments to ensure that your retinal condition remains stable and that your blood pressure continues to be well-managed.

In terms of management, controlling your blood pressure is crucial. This can involve lifestyle changes such as maintaining a healthy diet, engaging in regular physical activity, and adhering to any prescribed medications. Additionally, managing other risk factors like cholesterol levels and blood sugar is important to reduce the risk of further retinal issues.

If you notice any new symptoms, such as sudden changes in vision, increased floaters, or flashes of light, it is essential to seek immediate medical attention. These could be signs of more serious conditions that require prompt evaluation.

In summary, based on your description, it appears that your retinal hemorrhage was primarily due to high blood pressure rather than an eye stroke. Continuing to manage your blood pressure effectively and having regular eye check-ups will be key to maintaining your eye health and preventing future complications. Always consult with your healthcare provider for personalized advice and treatment options tailored to your specific situation.

Similar Q&A

Can Straining While Holding Your Breath Cause Retinal Hemorrhage?

Hello, doctor. I came across a report mentioning that individuals with macular degeneration and cardiovascular diseases such as hypertension may experience retinal hemorrhage due to frequent straining while holding their breath. I would like to ask if people without macular degen...


Dr. Wang Zhangji reply Ophthalmology
Individuals without vascular lesions are unlikely to experience retinal hemorrhage even if they occasionally hold their breath forcefully, and most people do not need to hold their breath frequently.

[Read More] Can Straining While Holding Your Breath Cause Retinal Hemorrhage?


Understanding Eye Bleeding: Neurological Causes and Recommended Tests

Doctor, my father has experienced bleeding in his eyes and has seen a doctor who advised him to take medication first, and if that doesn't work, surgery may be necessary. He has diabetes and has previously undergone laser treatment for cataracts. Besides eye-related issues, ...


Dr. Jiang Junyi reply Neurology
Hello, Clock Miss: You mentioned, "In addition to eye diseases, could it also be caused by cerebrovascular issues? Are there any recommended tests? Can both the brain and eyes be evaluated?" Regarding the eye bleeding you mentioned, are you referring to subconjunctival ...

[Read More] Understanding Eye Bleeding: Neurological Causes and Recommended Tests


Understanding Retinal Microvascular Rupture: Causes and Concerns

Hello, doctor. Previously, while running, I suddenly noticed a dark spot in my left eye (I had stayed up late and drank alcohol two days prior). The dark spot moves with my eye movements. I went to an ophthalmologist, and the doctor said it was caused by a rupture of the microves...


Dr. Gao Pilin reply Ophthalmology
Hello, A-Jiu: 1. If there is a microvascular rupture in the retinal area of the eye, it should not be significantly related to a stroke. 2. If the bleeding is minimal, it should not cause any major issues. 3. High blood pressure and diabetes can both potentially lead to this ...

[Read More] Understanding Retinal Microvascular Rupture: Causes and Concerns


Understanding Recurrent Retinal Hemorrhage in High Myopia

Hello, doctor. I would like to ask if retinal hemorrhages caused by high myopia can occur repeatedly. Last year, I underwent relevant examinations due to retinal hemorrhage, and it was confirmed that there were no neovascularizations. However, the bleeding issue keeps recurring. ...


Dr. He Jianxian reply Ophthalmology
If there is recurrent bleeding in the fundus, it definitely indicates an issue. It is recommended that you visit a medical center for a comprehensive examination.

[Read More] Understanding Recurrent Retinal Hemorrhage in High Myopia


Related FAQ

Ocular Hypertension

(Ophthalmology)

Subconjunctival Hemorrhage

(Ophthalmology)

Bloodshot Eyes

(Ophthalmology)

Retinal Tear

(Ophthalmology)

Intraocular Pressure

(Ophthalmology)

Retinal Degeneration

(Ophthalmology)

Cerebral Hemorrhage

(Neurology)

Visual Disturbance

(Ophthalmology)

Bleeding Under The Conjunctiva

(Ophthalmology)

Fundus Examination

(Ophthalmology)