Flame Hemorrhage

Nov 21, 2012 by

Flame Hemorrhage

Eighty percent of people who are diagnosed with diabetes also suffer from diabetic retinopathy. Diabetic retinopathy is a health condition in which the diabetes is causing heavy damage to the retina of the eye, and this condition is really grave, meaning it can lead to a total blindness. Despite this defeating statistics, newest research studies suggest that the retinopathy can be prevented in more than ninety percent of people with diabetes by regular monitoring and vigilant treatment. Also, it is safe to say that the persons who are living with this disease for more than 10 years and who does not have regular ophthalmological checkups, has a much bigger chance of developing diabetic retinopathy in the next 5 years. If you have this kind of retinopathy, the doctor will notice spots of a cotton wool shape, flame hemorrhage and a dot shaped hemorrhages in the retina.

 Retinal hemorrhages categories- flame hemorrhages, subhyaloid and preretinal hemorrhages, dot-and-blot hemorrhages and subretinal and subretinal pigment epithelium (RPE) hemorrhages

When a person goes on a routine ocular examination and the doctor discovers a retinal hemorrhages, this condition soon becomes a diagnostic challenge. The reason behind this assumption lies in the fact that the retinal hemorrhage is not a disease entity, but it is a hallmark of other ocular or systemic conditions and diseases. Therefore, the retinal hemorrhage is a sign of a much more serious condition and the doctor needs to determine the right diagnosis. There are four main categories of retinal hemorrhage and their appearance and location within the retina is significantly important in coming up with a proper diagnosis. The categories of retinal hemorrhages include flame hemorrhage, subhyaloid and preretinal hemorrhage, dot-and-blot hemorrhage and subretinal and subretinal pigment epithelium (RPE) hemorrhage.

Flame Hemorrhage

Flame hemorrhages as a retinal hemorrhage category

Flame hemorrhage is located inside the nerve fiber layer and it has a characteristically flame shaped clinical appearance. The flame hemorrhages are located in the later pole of the retina and they resolve by themselves in a 6 weeks period of time. These types of retinal hemorrhage are closely associated with pathology of the vascular retina and they can be a result of hypertensive retinopathy, occlusions of the retinal vein and other optic neuropathies. A Roth spot hemorrhage is a type of flame-shaped hemorrhage which has a pale-whitish center and it represents a symptom of blood dyscrasias.

Flame hemorrhage treatment

If the retinal hemorrhages are complications caused by diabetes, your doctor must conduct a series of new tests that will show if there is some sort of changes in the health condition. However, if you have been diagnosed with diabetes, you know that you must go on regular ophthalmological checkups every six month. Even though retinal hemorrhages are mild and cause no discomfort, the flame hemorrhage and other categories of retinal hemorrhages which have caused damaged blood vessels in the retina may require a laser treatment. Still, if you are not a fan of invasive eye surgical interventions, your ophthalmologist may prescribe you with Avastin and Lucentis medications which have shown an ability to repair the damaged vessels and to prevent further diabetic and other retinopathy.

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