ABO Ophthalmology Complete Practice Exam 2026

The distinguishing feature between vitreous hemorrhage and retinal detachment often lies in the presentation of symptoms. Vitreous hemorrhage typically presents with sudden onset of floaters due to the presence of blood in the vitreous humor, which causes shadows and cobweb-like structures that patients can see. These floaters can appear suddenly and vary in size and number, depending on the amount of bleeding.

In contrast, retinal detachment can also present with floaters, but it is more commonly associated with the perception of peripheral vision loss or a curtain-like shadow that gradually progresses across the visual field. It may lead to blurred vision as well, especially if the macula becomes involved, but the defining characteristic in this scenario is that vitreous hemorrhage specifically highlights the appearance of sudden floaters. Thus, when distinguishing between the two conditions, the immediate presence of floaters is a key symptom indicating vitreous hemorrhage.