A 10.0MHz probe was used to view both eyes via ultrasound. While the left eye appeared ultrasonographically normal,

the right eye revealed the following abnormalities (second video).

Normal Left Eye

Right Eye

Based on the appearance of the right eye, the presumptive diagnosis of acute vitreous hemorrhage was made, and the patient was followed up the following Tuesday for definitive management.

Vitreous hemorrhage is described as the presence of blood within or posterior to the avascular vitreous of the eye. It is common in patients with diabetic retinopathy, posterior vitreous detachment (with or without retinal tears), or trauma. Many agree ultrasonography is the mandatory imaging technique when the view of the fundus is obstructed by hemorrhage, corneal opacification, or cataract. Ultrasound can reveal several findings including retinal detachment, presence of foreign body and presence of a posterior vitreous detachment.