Differential Diagnosis for Blood in Retina
Single Most Likely Diagnosis
- Diabetic Retinopathy: This is the most common cause of blood in the retina, especially in patients with a history of diabetes. The high blood sugar levels damage the blood vessels in the retina, leading to leakage and bleeding.
Other Likely Diagnoses
- Hypertensive Retinopathy: High blood pressure can cause damage to the blood vessels in the retina, leading to bleeding and leakage.
- Retinal Vein Occlusion: A blockage of the veins in the retina can cause blood to leak into the retina.
- Retinal Detachment: A tear in the retina can cause blood to accumulate underneath the retina.
Do Not Miss Diagnoses
- Retinal Artery Occlusion: A blockage of the arteries in the retina can cause sudden and severe vision loss, and it is essential to diagnose and treat promptly to prevent permanent damage.
- Endogenous Endophthalmitis: A rare but potentially devastating infection within the eye that can cause bleeding in the retina and requires immediate medical attention.
- Trauma: A blow to the head or eye can cause bleeding in the retina, and it is crucial to rule out any underlying injuries that may require urgent treatment.
Rare Diagnoses
- Sickle Cell Retinopathy: A complication of sickle cell disease that can cause bleeding in the retina due to the abnormal shape of red blood cells.
- Eale Disease: A rare disease that causes inflammation and bleeding in the retina, often affecting young adults.
- Terson Syndrome: A condition where bleeding in the retina occurs due to a subarachnoid hemorrhage, which is a life-threatening condition that requires immediate medical attention.