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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.
Peripheral (posterior) vitreous detachment occurs when the gel around the eye separates from the retina. This can naturally occur with age. However, if it occurs too rapidly, it can cause photopsia which manifests in flashes and floaters in the vision. Typically, the flashes and floaters go away in a few months.
A tear in the retina can allow fluids from the eye to leak in behind the retina, which causes retinal detachment. When this occurs, blood from the retinal blood vessels can bleed into the vitreous. [4] Retinal tear accounts for 11.4–44% of vitreous hemorrhage cases. [1]
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]
If these liquid pockets are close enough to the interface between the vitreous gel and the retina, they can cause complete separation of the vitreous from the retina in a normally occurring process in older humans called posterior vitreous detachment (PVD). PVD in of itself is not dangerous and a natural process. [citation needed]
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;
Retinal detachment is typically painless, with symptoms often starting in the peripheral vision. [3] [9] [10] Symptoms of retinal detachment, as well as posterior vitreous detachment (which often, but not always, precedes it), may include: [3] [4] [9] [10] [12] Floaters suddenly appearing in the field of vision or a sudden increase in the ...
Long term vitreous traction (stretching) of the retina is thought to be what is associated with the increased risk of tears to the retina or retinal detachment. [1] Under a microscope looking at the histology of a cystic retinal tuft, an increase in glial cells , breaking down of the outer retina, and a loss in photoreceptor cells is often ...