This protocol addresses vitreous haemorrhage that has not resolved following initial conservative management, where the view to the posterior pole remains obstructed.
Initial outpatient observation — including limitation of activities and head-of-bed elevation to allow blood to settle inferiorly — did not achieve the goal of visualising the superior retina. Failure to reach adequate visualisation is the escalation trigger for the next treatment step.
Vitrectomy is also indicated for nonclearing vitreous hemorrhage, neovascularization of the iris and/or angle, or ghost cell glaucoma.
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