A retinal specialist usually is necessary for medical and surgical intervention. Management of vitreous hemorrhage depends upon the underlying cause. In retinal tears or detachment, laser cryotherapy or scleral buckle surgery is indicated. With underlying medical diseases, patient is treated conservatively with upright positioning for sleep to enhance settling of the hemorrhage. With the exception of trauma and retinal detachment, close observation for 1-2 weeks allows time for spontaneous clearing of the hemorrhage.
Prognosis depends upon the underlying cause of the hemorrhage, yet most resolve over time.
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