Marfan Syndrome – Page 16 of 50

Hemorrhages of the vitreous are second only to cataracts as the cause of opaque media. While dense hemorrhages can preclude funduscopic evaluation, ultrasonography is not affected. Dense hemorrhage appears as irregular white or gray areas on the screen.

If the reflections move as the patient moves the eye, then the vitreal hemorrhage is fluid. If motion is dampened upon eye movement, then the vitreal hemorrhage is more likely to be solid. It has been shown that posterior hemorrhages of light density in fluid vitreous have a greater than 50% chance of clearing, whereas denser hemorrhages in solid vitreous have only 33% chance of clearing.¹