Diagnostic Dilemma: A Case Report on Non-Resolving Chronic Vitreous Haemorrhage Secondary to Idiopathic Vasculitis or Trauma with Macular Hole

This case report discusses a diagnostic dilemma and the timely management of chronic vitreous hemorrhage in a 50-yearold female patient with a history of head trauma from a road traffic accident. The patient presented with progressive, painless vision loss in the left eye over a year. Despite extensive investigations, the cause of the hemorrhage remained inconclusive. During a 25 G Pars Plana Vitrectomy, intraoperative findings revealed a full-thickness macular hole and peripheral vein congestion, suggesting idiopathic retinal vasculitis as a possible cause. Postoperative care included topical steroids and antibiotics, with significant improvement in the patient's vision. This case highlights the complexities in diagnosing and managing vitreous hemorrhage, emphasizing the need for thorough evaluation and individualized treatment strategies.