Causes and Treatment Methods for Retinal Hemorrhage in the Elderly

Bleeding in the fundus of elderly individuals may be caused by uveitis, retinal vasculitis, age-related macular degeneration, and other conditions. Different treatment approaches can be selected based on the underlying cause.

1. Uveitis

This condition may result from unhealthy lifestyle habits such as smoking and drinking, or from infections caused by pathogens including bacteria, parasites, and viruses. Treatment may include non-steroidal anti-inflammatory drugs such as pranoprofen eye drops, diclofenac sodium eye drops, or indomethacin eye drops, used according to medical advice. In severe cases, vitrectomy surgery may be recommended by a physician.

2. Retinal Vasculitis

This may occur due to low immunity and infection with bacteria, viruses, or fungi, leading to damage of the retinal blood vessel walls. Treatment may involve medications such as tobramycin eye drops, cefazolin sodium for injection, or dexamethasone sodium phosphate for injection, as directed by a doctor. If there is localized hemorrhage, treatments such as vitreoretinal surgery or laser photocoagulation may be recommended by a physician.

3. Age-Related Macular Degeneration

This condition may be triggered by unbalanced diet, obesity, or underlying diseases such as hypertension, leading to age-related macular degeneration and bleeding from ruptured new blood vessels. Under medical guidance, medications such as vitamin A tablets, vitamin E soft capsules, and vitamin C tablets may help alleviate vision loss. In some cases, surgical interventions such as submacular hemorrhage removal or excision of subretinal choroidal neovascularization may be performed as directed by a physician.

In addition, bleeding may also be caused by conditions such as diabetes. Patients are advised to seek timely medical evaluation and follow prescribed treatments.