How much of an IOP spike is needed to cause a hemorrhage in the back of the eye?
A spike isn’t needed. High IOP can cause nerve deterioration, stretching the vessel too far, causing it to break and leak blood. (This is the best way for me to conceptualize it; no one knows the pathogenetic mechanism for sure.) Most patients have a serious diurnal IOP curve, so you may not know what your highest IOP is. Dr.
