If vitreous hemorrhage does not clear, what surgical intervention may be indicated?

If vitreous hemorrhage does not clear, what surgical intervention may be indicated?

• A. Corneal transplant
• B. Scleral buckle
• C. Pars plana vitrectomy
• D. Laser iridotomy

Answer: (C)

Persistent vitreous hemorrhage that does not clear leaves blood in the eye, blurring vision and preventing a proper view of the retina. In this situation, removing the vitreous gel and the accumulated blood through a pars plana vitrectomy is the best next step because it clears the visual axis, permits direct examination of the retina, and allows treatment of any underlying problems such as retinal tears, detachments, or proliferative retinal disease. The procedure may also include laser treatment or tamponade to support the retina afterward. Other options listed address different tissues or conditions (corneal opacity, scleral buckle for detachments without removing the vitreous, or laser iridotomy for pupil or glaucoma issues) and do not directly resolve a non-clearing vitreous hemorrhage.

Persistent vitreous hemorrhage that does not clear leaves blood in the eye, blurring vision and preventing a proper view of the retina. In this situation, removing the vitreous gel and the accumulated blood through a pars plana vitrectomy is the best next step because it clears the visual axis, permits direct examination of the retina, and allows treatment of any underlying problems such as retinal tears, detachments, or proliferative retinal disease. The procedure may also include laser treatment or tamponade to support the retina afterward. Other options listed address different tissues or conditions (corneal opacity, scleral buckle for detachments without removing the vitreous, or laser iridotomy for pupil or glaucoma issues) and do not directly resolve a non-clearing vitreous hemorrhage.