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The risk of retinal detachment is the greatest in the first 6 weeks following a vitreous detachment, but can occur over 3 months after the event.. The risk of retinal tears and detachment associated with vitreous detachment is higher in patients with myopic retinal degeneration, lattice degeneration, and a familial or personal history of previous retinal tears/detachment.
The ultimate release of the vitreous around the optic nerve head sometimes makes a large floater appear, usually in the shape of a ring ("Weiss ring"). [15] Posterior vitreous detachment is more common in people who: are nearsighted; have undergone cataract surgery or clear lens extraction; have had Nd:YAG laser surgery of the eye;
As one gets older, pockets of fluid can develop in the vitreous. When these pockets develop near the back of the eye, the vitreous can pull away from the retina and possibly tear it. [2] Posterior vitreous detachment accounts for 3.7–11.7% of vitreous hemorrhage cases. [1]
Patients at high risk for rhegmatogenous retinal detachment, such as those with myopia (nearsightedness), those who have had cataract surgery, those with a previous detachment in the other eye, and those with lattice degeneration or posterior vitreous detachment (PVD), should be educated on the symptoms and warning sings of retinal detachment ...
During rhegmatogenous retinal detachment, fluid from the vitreous humor enters a retinal hole. The mechanisms by which retinal holes or tears form are not fully understood yet. The accumulation of fluid in the subretinal space and the tractional force of the vitreous on the retina result in rhegmatogenous retinal detachment.
Vitrectomy is a surgery to remove some or all of the vitreous humor from the eye.. Anterior vitrectomy entails removing small portions of the vitreous humor from the front structures of the eye—often because these are tangled in an intraocular lens or other structures.
Vitreomacular traction syndrome (VTS) is a medical condition in the eye that is the result of tractional forces (pulling) being placed on the retina. [1] [2] VTS is common in people who have an incomplete posterior vitreous detachment, a type of retinal detachment at the periphery of the retina. [1]
Retinal detachment should be considered if there were preceding flashes or floaters, or if there is a new visual field defect in one eye. [2] [3] If treated early enough, retinal tear and detachment can have a good outcome. [2]