Posterior Vitreous Detachment, Retinal Breaks, and Lattice Degeneration Preferred Practice Pattern®

Flaxel, Christina J.; Adelman, Ron A.; Bailey, Steven T.; Fawzi, Amani A.; Lim, Jennifer I.; Vemulakonda, G. Atma; Ying, Gui Shuang

doi:10.1016/j.ophtha.2019.09.027

Cited by 54 publications

(48 citation statements)

References 98 publications

(124 reference statements)

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“…Oral supplements, vitamins and proper systemic hydration can be suggested; however, medical treatment is usually not given for vitreous floaters or for PVD. If no retinal breaks or hemorrhages are found upon initial diagnosis of PVD, it is best to repeat the dilated examination within 2 to 4 wk and then at 3 mo and 6 mo from the onset of symptoms[ 29 ]. Closer follow-up is suggested in the presence of mild vitreous hemorrhages, peripheral punctate retinal hemorrhages, and the onset of new or worsening of photopsia and myodesopsia symptoms.…”

Section: Introductionmentioning

confidence: 99%

“…Closer follow-up is suggested in the presence of mild vitreous hemorrhages, peripheral punctate retinal hemorrhages, and the onset of new or worsening of photopsia and myodesopsia symptoms. Vitreous hemorrhages following symptomatic PVD with photopsia have been shown to be associated with retinal breaks, and thus need to be considered in this manner even if the fundus cannot be clearly assessed in those cases[ 29 ]. Patients must be adequately educated and told to seek emergency ophthalmic evaluation in the presence of new signs and symptoms related to possible RD.…”

Section: Introductionmentioning

confidence: 99%

“…If a small isolated peripheral retinal break is found, guidelines for tears or breaks, which usually recommend laser treatment, must be followed to avoid RD. Symptomatic breaks after PVD should be immediately treated with laser retinal photocoagulation, which is usually performed by applying two or three rows of confluent burns around the lesion[ 29 ]. Retinal breaks can be treated with cryoretinopexy in eyes with small pupils or a hazy cornea.…”

Section: Introductionmentioning

confidence: 99%

“…Retinal breaks can be treated with cryoretinopexy in eyes with small pupils or a hazy cornea. Laser retinopexy is superior to cryoretinopexy, and tends to be more precise, with less risk of epiretinal membrane[ 29 ].…”

Section: Introductionmentioning

confidence: 99%

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Spontaneous posterior vitreous detachment: A glance at the current literature

Ramovecchi

Salati

Zeppieri

2021

WJEM

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Spontaneous posterior vitreous detachment (PVD) is a common age-related condition in which prevalence tends to increase with age. Acute PVD can cause the onset of symptoms that include visual disturbances, myodesopsia and photopsia. The goal of this short review was to provide a quick glance at the important factors related to PVD based on current literature in this field, which includes incidence, symptoms, diagnosis, risk factors, and education for patients with acute symptoms, and treatments. The take home message is that an ophthalmic examination at the onset of symptoms is of utmost importance, considering that irreversible sight-threatening complications can be prevented if diagnosed and treated promptly.

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Section: Introductionmentioning

confidence: 99%

Section: Introductionmentioning

confidence: 99%

Section: Introductionmentioning

confidence: 99%

Section: Introductionmentioning

confidence: 99%

See 2 more Smart Citations

Spontaneous posterior vitreous detachment: A glance at the current literature

Ramovecchi

Salati

Zeppieri

2021

WJEM

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“…A comparative study by Kang et al [15] indicated that refractive surgery might be a causative factor of retinal detachment. In addition, LD can evolve into retinal breaks and is a high-risk factor of rhegmatogenous retinal detachment [16]. However, it can be prevented by prophylactic laser photocoagulation.…”

Section: Introductionmentioning

confidence: 99%

Myopic Retinal Changes Screening: Comparison of Sensitivity and Specificity among 15 Combinations of Ultrawide Field Scanning Laser Ophthalmoscopy Images

Tanumiharjo

Chen

et al. 2021

Ophthalmic Res

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Aims: To investigate the evaluation indices (diagnostic test accuracy and agreement) of 15 combinations of ultrawide field scanning laser ophthalmoscopy (UWF SLO) images in myopic retinal changes (MRC) screening to determine the combination of imaging that yields the highest evaluation indices in screening MRC. Methods: This is a retrospective study of UWF SLO images obtained from myopes and were analyzed by two retinal specialists independently. 5-field UWF SLO images that included the posterior (B), superior (S), inferior (I), nasal (N) and temporal (T) regions were obtained for analysis and its results used as a reference standard. The evaluation indices of different combinations comprising of one to four fields of the retina were compared to determine the abilities of each combinations screen for MRC. Results: UWF SLO images obtained from 823 myopic patients (1646 eyes) were included for the study. Sensitivities ranged from 50.0% to 98.9% (95% confidence interval (CI), 43.8-99.7%); the combinations of B+S+I (97.3%; 95% CI, 94.4-98.8%), B+T+S+I (98.5%; 95% CI, 95.9-99.5%), and B+S+N+I (98.9%; 95% CI, 96.4-99.7%) ranked highest. Furthermore, the combinations of B+S+I, B+T+S+I and B+S+N+I also revealed the highest accuracy (97.7%; 95% CI, 95.1-100.0%, 98.6%; 95% CI, 96.7-100.0%, 98.8%; 95% CI, 96.9-100.0%) and agreement (Kappa = 0.968, 0.980 and 0.980). For the various combinations, specificities were all higher than 99.5% (95% CI, 99.3-100.0%). Conclusion: In our study, screening combinations of B+S+I, B+T+S+I and B+S+N+I stand out with high-performing optimal evaluation indices. However, when time is limited, B+S+I may be more applicable in primary screening of MRC.

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Pathologische Myopie

Jonas,

Panda-Jonas

2024

Springer Reference Medizin

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Posterior Vitreous Detachment, Retinal Breaks, and Lattice Degeneration Preferred Practice Pattern®

Cited by 54 publications

References 98 publications

Spontaneous posterior vitreous detachment: A glance at the current literature

Spontaneous posterior vitreous detachment: A glance at the current literature

Myopic Retinal Changes Screening: Comparison of Sensitivity and Specificity among 15 Combinations of Ultrawide Field Scanning Laser Ophthalmoscopy Images

Pathologische Myopie

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