Posterior Vitreous Detachment Treatment In Ghatkopar, Mumbai

1
Vitreous Detachment
Posterior Vitreous Detachment Treatment In
Ghatkopar, Mumbai
The eye is a very complex functional and anatomic
organ. The retina is a thin, delicate and
transparent sheet of tissue that lines the inside
of the back of the eye. Directly in front of the
retina is also a cavity that contains a gel
called vitreous. The structure responsible for
the bulk and shape of our eye is Vitreous part.
It is a jelly-like body that fills the posterior
chamber of the eye, giving the eyeball its round
shape and keeping the retina in place against the
back of the eye. It is made up of millions of
tiny collagen fibrils along with ground substance
mucopolysaccharides such as hyaluronic acid,
which form a gel. The vitreous is mostly water,
which makes up 98 of it. The collagen strands
connect to the superficial layers of the retina
especially around the macula, the retinal
vessels or sites at the retinal
periphery. Posterior vitreous detachment (PVD),
also known as hyaloid detachment, occurs when
the retinal layer and vitreous body/posterior
hyaloid membrane dissociate, with an intervening
fluid collection forming in the subhyaloid space.
It is thought to be a common consequence of
aging, occurring in more than 70 of the
population over the age of 60 Who is at risk of
posterior vitreous detachment? The risk factors
for vitreous detachment include
Older age.
?
Nearsightedness.
?
Past eye trauma.
?
2
Prior Cataract Surgery.
?
Vitreous detachment in one eye.
?
People over age 60 are more likely to develop
vitreous detachment. But if youre nearsighted
or have suffered eye trauma, youre more likely
to develop it at a younger age. And if youve
had vitreous detachment in one eye, youre
likely to experience it in the other eye within a
year. Its good to be aware when youre at
increased risk, then youll know to see an
ophthalmologist promptly if new floaters and
flashes develop. Meanwhile, remember to
safeguard your eyes. Wear protective goggles when
you play sports, when you work with saws or
other tools that create debris, and when you
handle fireworks. What are symptoms of Vitreous
Detachment? Posterior vitreous detachment (PVD)
doesnt cause pain or permanent vision loss, but
you might experience other symptoms. They include
Flashes. These small flashes of light are
comparable to seeing stars after hitting your
head. They can last a few seconds or minutes and
tend to stop, or occur less often, once
detachment is complete.
?
Floaters. These floating spots in your field of
vision can resemble tiny specks, dust, dots, or
cobweb-like shadows. They typically occur in the
first few weeks of Posterior vitreous detachment
(PVD) and are most noticeable when looking at a
light surface, such as a white wall or the sky.
?
Cobweb effect. You may begin to see the outer
edge of the vitreous as it separates from the
retina. It can feel like youre looking through a
cobweb. This is temporary and goes away once
detachment is complete.
?
How Vitreous Detachment Develops? In normal eyes,
the vitreous is attached to the surface of the
retina through millions of tiny, intertwined
fibers. Your vitreous gel is mostly made of
water. As we age, the vitreous slowly shrinks,
and these fibers pull on the retina's
3
What other problems can vitreous detachment
cause?
surface. If the fibers break, the vitreous can
shrink further and separate from the retina,
causing a vitreous detachment. Most people get
Posterior vitreous detachment (PVD) at age 60 or
older and it's very common after 80. It happens
to men and women equally.
Vitreous detachment can sometimes lead to more
serious eye conditions
Retinal tear. Sometimes, the vitreous fibers tear
a hole in the retina when they pull away. If you
dont get treatment quickly, this can lead to
retinal detachment.
?
Retinal detachment. Sometimes vitreous detachment
pulls the entire retina away from its normal
position at the back of the eye. This can be a
medical emergency. Learn more about retinal
detachment.
?
Macular hole. Sometimes vitreous detachment tears
a hole in the macula (the part of the retina
that controls your central vision). This can
happen before or after the vitreous detaches
enough to cause floaters or flashes of light.
Learn more about macular hole.
?
Macular pucker. Sometimes vitreous detachment
causes a thin layer of scar tissue to grow over
the macula. This usually happens slowly in the
months or years after vitreous detachment. Learn
more about macular pucker.
?
These conditions can cause vision loss but
treatment may help preserve your vision. Tell
your eye doctor right away if you notice symptoms
of vitreous detachment so they can check for
these more serious problems. Diagnosis A Routine
eye examination can help your doctor to spot
problems like Posterior vitreous detachment
(PVD) early and that can help protect your
vision. Your doctor may use special eye drops to
make your pupils (the holes in the center of
your eyes) bigger and use a slit-lamp test to
look for signs of
4
Posterior vitreous detachment (PVD). This is done
with a microscope that looks through the front
of your eye. It is helpful in detecting, if
Posterior vitreous detachment (PVD) has caused
bleeding, a torn retina, or something else that
could harm your eyesight. Your doctor also may
use other tests to make sure the gel hasn't
pulled away from your retina. These include
Optical coherence tomography (OCT)- a 3-D scan of
the inside of your
?
eye
Ocular ultrasound - a test that uses sound waves
to show the inside of your eye
?
Treatment Posterior Vitreous Detachment usually
doesnt require treatment. Complete detachment
typically takes no longer than three months. If
you continue to see floaters after detachment is
complete, discuss treatment options with your
doctor. When complications occur and your
ophthalmologist recommends treatment, there are
a number of options available, including
Laser or cryosurgery This can be done in the
office with no anesthesia. Your doctor repairs
the holes or tears in your retina, which
prevents further progression of the condition.
?
Scleral buckle This involves placing a band
around the outside of the eye to counterbalance
the force of the vitreous pulling on the retina.
Fluid is then drained from behind your retina,
allowing it to return to its proper position.
This is usually done as outpatient surgery.
?
Pneumatic retinopexy This surgery is sometimes
done in the office. Your doctor injects a gas
bubble into the vitreous behind your eye. The
bubble pushes the tear against the back wall of
the eye and closes it. Then your doctor uses
laser or cryosurgery to secure the retina where
it belongs. After surgery, you may need to keep
your head in a certain position for a few days.
The gas bubble dissipates over time.
?
5
Follow up of Vitreous Detachment
Once it has been confirmed that the vitreous
detachment is isolated, follow- up examinations
are recommended at regular intervals thereafter.
The period between examinations depends, of
course, on the presence of blood in the vitreous
or other signs which could increase the
likelihood of retinal detachment. Thus the first
re-visit may be after a week or a month,
according to the nature of the detachment.
Important Reminder This information is only
intended to provide guidance, not a definitive
medical advice. Please consult eye doctor about
your specific condition. Only a trained,
experienced board certified eye doctor can
determine an accurate diagnosis and proper
treatment. To schedule an appointment with our
experts for Posterior vitreous detachment (PVD)
Treatment In Ghatkopar, please call us at 91
8451045935, 91-8451045934 or visit our clinic at
Address.