Predicting retinal tears in posterior vitreous detachment

Schweitzer, Kelly D.; Eneh, Amaka; Hurst, Jonathan; Bona, Mark; Rahim, Karim; Sharma, Sanjay

doi:10.1016/j.jcjo.2011.09.010

Cited by 21 publications

(28 citation statements)

References 5 publications

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“…(, ) and Schweitzer et al. () showed that the presence of floaters at first presentation, more than 10 floaters and the presence of a cloud, was significantly predictive for later development of retinal tears. The mechanisms that can lead to an increased risk of the development of retinal tears after presentation still need to be studied.…”

Section: Discussionmentioning

confidence: 97%

“…, ; Schweitzer et al. ) which collected data on floater characteristics as classified by van Overdam et al. (, ): group A 1–3 floaters, group B 3–10 floaters, group C >10 floaters, group D curtain or a cloud (Schweitzer et al.…”

Section: Methodsmentioning

confidence: 99%

“…(, ): group A 1–3 floaters, group B 3–10 floaters, group C >10 floaters, group D curtain or a cloud (Schweitzer et al. ). We used Fisher's test to compute the OR and p‐values.…”

Section: Methodsmentioning

confidence: 99%

“…; Schweitzer et al. ). However, not all studies agree that re‐examination after 6 weeks is necessary (Singalavanija et al.…”

Section: Introductionmentioning

confidence: 97%

“…Several studies have reported a prevalence of these complications of 6-18% among patients who are selfreferred or referred to an ophthalmologist (Dayan et al 1996;van Overdam et al 2005;Carrero 2012;Goh et al 2015). The main complaints of patients with PVD are flashes, floaters and/or reduced vision (Tanner et al 2000;Schweitzer et al 2011). Patients experiencing these symptoms are usually directed to the emergency room of the ophthalmology department.…”

Section: Introductionmentioning

confidence: 99%

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Symptoms related to posterior vitreous detachment and the risk of developing retinal tears: a systematic review

Gishti

Nieuwenhof

Verhoekx

et al. 2019

Acta Ophthalmologica

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Flashes and floaters are the hallmark symptoms of a posterior vitreous detachment (PVD) which itself is related to an increased risk of the development of retinal tears, retinal detachment and vitreous haemorrhage. The aim of this study is to assess the associations between different symptoms related to PVD and the risk of developing retinal tears. A systematic review of articles written in English, using MEDLINE, Embase (via Embase.com) and the Cochrane Controlled Trials Register (1996–2017) was conducted. Search terms included five elements: PVD, retinal tears, retinal detachment, floaters and flashes. Independent extraction of articles was conducted by two authors using predefined data fields, including study quality indicators. Thirteen studies fulfilled the selection criteria. Analysis of pooled data revealed that presence of isolated flashes was associated with the development of retinal tears in 5.3% of symptomatic eyes [mean 2.9 eyes; 95% CI (2.1, 5.7)].Conversely, floaters alone had a stronger association with retinal tears (16.5% of eyes), as compared to flashes. The association to retinal tears was even greater for those patients reporting both flashes and floaters [mean 17.8 eyes (20.0%); 95% CI (17.4, 18.1)]. Retinal and/or vitreous haemorrhage was also associated with the presence and later development of retinal tears [mean 12.5 eyes (30.0%); 95% CI (11.7, 13.9)]. Patients with more than 10 floaters or a cloud in their vision had a high risk of developing retinal tears (OR19.8, p‐value 0.032). In the setting of a PVD, the onset of flashes and floaters, and the presence of retinal and/or vitreous haemorrhage are risk factors for the development of retinal tears. The association is greater when both symptoms are present, and even greater when the patient reports more than 10 floaters, a curtain or a cloud and/or there is a positive finding of a vitreous or retinal haemorrhage. This study supports the necessity of an immediate examination of patients presenting with symptoms related to a PVD, and a follow‐up examination might be prudent in a subgroup of these patients.

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Section: Discussionmentioning

confidence: 97%

Section: Methodsmentioning

confidence: 99%

“…(, ): group A 1–3 floaters, group B 3–10 floaters, group C >10 floaters, group D curtain or a cloud (Schweitzer et al. ). We used Fisher's test to compute the OR and p‐values.…”

Section: Methodsmentioning

confidence: 99%

“…; Schweitzer et al. ). However, not all studies agree that re‐examination after 6 weeks is necessary (Singalavanija et al.…”

Section: Introductionmentioning

confidence: 97%