How is fundus bleeding treated, and what is the treatment for fundus bleeding?

Fundus hemorrhage is strictly a symptom that can trigger a variety of eye diseases. These include diabetic retinopathy, retinal veins, ocular trauma, vascular disease of the fundus, and more. These diseases can lead to rupture and bleeding of blood vessels on the surface of the retina, resulting in fundus hemorrhage, so the best solution for this disease is to target the specific and symptomatic.

For a small amount of hemorrhage, it is generally conservative **, it can be gradually absorbed, and then retinal laser photocoagulation is given, if the amount of bleeding is particularly large, it accumulates in the vitreous cavity and cannot be absorbed by itself. In this case, vitrectomy surgery is required as soon as possible to avoid retinal detachment.

Fundus hemorrhage can be divided into vitreous hemorrhage, preretinal hemorrhage, subretinal hemorrhage, etc., and the causes of fundus hemorrhage are mainly related to retinopathy, including diabetic retinopathy, retinal vein occlusion, uveitis, retinal vein perirhinitis, etc. At present, the methods of fundus hemorrhage include drugs, lasers, surgery, etc. You should go to the hospital in time to clarify the **symptom of bleeding**.

It is well known that fundus hemorrhage is not an isolated eye disease, but is associated with many eye diseases or certain systemic diseases. The more common ones are hypertensive retinopathy, diabetes and nephropathy retinopathy, periretinal venous inflammation, retinal vein occlusion, arteriosclerosis, optic disc vasculitis, etc. Although the a**gens are different and the bleeding site is different, the pathological damage to vision is the same.

In severe cases, blindness can occur.

According to a large number of Chinese medicine materials, there is little record of fundus hemorrhage. However, based on years of follow-up studies of people with diabetic fundus hemorrhage, we believe that the root cause of most fundus hemorrhages is essentially related to changes in the quality of the patient's own blood. Hyperlipidemia, hyperglycemia, excessive whole blood viscosity, hemodynamic decline, thickening of the basement membrane of the vascular wall, precipitation of sterile impurities, narrowing of the lumen of the blood vessels, decreased toughness, and increased permeability all provide a terrible basis for fundus hemorrhage.

Due to insufficient blood supply, the retina and optic nervous system are deprived of oxygen and water at the same time. Thrombosis and increased tube pressure leading to bleeding or local rupture are the most direct causes.

At present, it is most widely used in fundus hemorrhage, and the fastest effect is the use of laser, but the fly in the ointment is that it is larger, and it cannot solve the problem of anti-opposition. Laser**fundus hemorrhage is mainly manifested in the damage to the optic nerve. I've seen a lot of patients who have had three or four laser sessions in one eye and their vision is very deteriorating.

Some people are even close to blindness, but the problem of bleeding still occurs from time to time, and it cannot be solved fundamentally....

Retinal photocoagulation is an important method of retinal fundus vascular disease, eye swelling, headache may occur during the laser process, and some patients may also have nausea, which is generally tolerable, and these symptoms will disappear after a night's rest. According to the principle of laser, the laser can cause thermal damage to the retinal nerve fiber layer, which can cause a certain amount of pain. If the patient is really in pain, retrobulbar lidocaine can be injected to relieve the pain during the laser procedure.

However, because the effect of local anesthesia can cause eyelid edema, it will bring certain difficulties to laser operation. The vast majority of patients can tolerate laser-induced pain if they relax and cooperate with the doctor. Taking painkillers before the laser may help to alleviate the pain of the laser, and the doctor can try to choose the yellow laser on the premise of ensuring the best effect.

The pain of yellow light will be lighter than that of red light, and the energy of the laser can also be appropriately reduced, which can also reduce the feeling of pain.

Fundus hemorrhage needs to be performed according to the retinal hemorrhage. Fundus hemorrhage can be caused by many causes, but it is common in retinal vascular diseases, such as blockages in retinal arteries and veins. Systemic diseases include hypertensive fundus disease and diabetic retinopathy.

Inflammatory diseases include periretinopathy, and retinopathy of prematurity can also cause retinal vascular disease.

In fundus hemorrhage, retinal hemorrhage is recommended. Intraocular injection of anti-vascular endothelial growth factor, which can be used for retinal neovascularization.

Generally speaking, the fundus refers to the retina, which cannot be seen without the help of special ophthalmic instruments. If the human eye is compared to a camera, the cornea and lens are equivalent to the lens, and the retina is equivalent to the film negative. Light rays are focused through the lens (cornea and lens) onto the substrate (retina), allowing the human eye to see the object.

Overview of fundus hemorrhage].

Fundus hemorrhage is not a separate eye disease, but a feature common to many eye diseases and some systemic diseases. Systemic vascular and hematologic lesions can be reacted from the retina and its blood vessels, and can also directly cause hemorrhagic lesions in the retina. Common symptoms:

There is a floating dark shadow in front of the eyes, blurred vision in the central area, and loss of vision.

** Methods of fundus hemorrhage].

The first step is to determine whether vitreous hemorrhage or retinal hemorrhage is present. If it is vitreous hemorrhage, you can treat the drug first**, and if it cannot be absorbed, you can consider vitrectomy. If it is a retinal hemorrhage, it is necessary to do a fundus eyeshadow to clarify the scope of bleeding, and at the same time to promote blood circulation and improve circulation, you can consider laser**.

Fundus hemorrhage symptoms can generally be treated with hemostatic drugs**, such as Anluoxue, hemostatic aromatic acid, vitamin K, etc. If the increase in blood pressure is actively controlled, it is recommended to take oral hemostasis and stasis tablets to carry out **.

Fundus hemorrhage is a serious fundus disease, which is often easily ignored and delayed due to the absence of any lesions on the surface, and can eventually lead to blindness, especially in the elderly, accompanied by systemic diseases, such as hypertension, diabetes, etc. The principle of fundus hemorrhage is due to the rupture of blood vessels in the fundus, resulting in or caused by local microcirculation disorders, for the fundus hemorrhage, some blood circulation can also be given in the early stage, and some blood circulation can be given in the early stage, and the nutritional nerve can be treated symptomatically, if the symptoms gradually improve, retinal laser photocoagulation can be given in the later stage. If symptoms persist and do not improve, vitrectomy may be needed.

Southeast, Ophthalmology.

How is fundus bleeding**? This problem also comes back to the cause of fundus bleeding. Its scheme is determined according to it.

If the bleeding is caused by a retinal tear, the retinal tear should be located first, and then the tear can be closed with retinal laser photocoagulation to prevent further retinal detachment. If it is a simple retinopathy, such as retinal vascular disease or fundus hemorrhage caused by diabetes and hypertension, retinal laser photocoagulation is also used to close the lesion of the blood vessel to prevent further bleeding. If the bleeding is caused by a simple retinal aneurysm, the aneurysm needs to be closed by retinal laser photocoagulation.

For simple bleeding in the macula, such as choroidal neovascularization in the macula, these patients do not require retinal laser photocoagulation and cannot undergo retinal laser photocoagulation. It requires the reduction of VEGF concentration by visurdal photodynamic ** or intravitreal injection of anti-VEGF drugs, thereby inhibiting the growth of neovascularization, in order to achieve the purpose of **.

Common causes:

1.It occurs in systemic diseases such as hypertensive retinopathy and diabetic retinopathy.

2.Retinopathy, periretinal venous inflammation, retinal vein occlusion.

3.Trauma. **For the bow|Fundus hemorrhage is performed for the primary disease**. After fundus hemorrhage, the first thing to do is to stay in bed, avoid activity and mental stress, and control blood pressure and blood sugar. At present, modern medicine uses lasers, fibrinolytic preparations, antiplatelet aggregators and other methods**, which have certain effects in clinical application, but are far from ideal for restoring vision.