Acute symptomatic posterior vitreous detachment and delayed retinal breaks

Williams, Katherine; Watt, Lynda; Williamson, Tom H.

doi:10.1111/j.1755-3768.2010.01973.x

Cited by 7 publications

(7 citation statements)

References 6 publications

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“…In this review, we identified three articles in which the time-course of PVD and subsequent retinal tears were evaluated. (Dayan et al 1996;Richardson et al 1999;Williams et al 2011) For data to be comparable, we only included papers, in which time from presentation was evaluated, that is, symptomatic PVD of recent onset. Also, the included articles were the only to provide data applicable to the clinical perspective of the need of follow-up with an upper limit of 2 months of follow-up, as this represents the normal practice in many ophthalmological departments.…”

Section: Posterior Vitreous Detachmentmentioning

confidence: 99%

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Prophylactic treatment of retinal breaks – a systematic review

Blindbæk

Grauslund

2014

Acta Ophthalmologica

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ABSTRACT. Prophylactic treatment of retinal breaks has been examined in several studies and reviews, but so far, no studies have successfully applied a systematic approach. In the present systematic review, we examined the need of follow-up after posterior vitreous detachment (PVD) -diagnosed by slit-lamp biomicroscopy or Goldmann 3-mirror examination -with regard to retinal breaks as well as the indication of prophylactic treatment in asymptomatic and symptomatic breaks. A total of 2941 publications were identified with PubMed and Medline searches. Two manual search strategies were used for papers in English published before 2012. Four levels of screening identified 13 studies suitable for inclusion in this systematic review. No meta-analysis was conducted as no data suitable for statistical analysis were identified. In total, the initial examination after symptomatic PVD identified 85-95% of subsequent retinal breaks. Additional retinal breaks were only revealed at follow-up in patients where a full retinal examination was compromised at presentation by, for example, vitreous haemorrhage. Asymptomatic and symptomatic retinal breaks progressed to rhegmatogenous retinal detachment (RRD) in 0-13.8% and 35-47% of cases, respectively. The cumulated incidence of RRD despite prophylactic treatment was 2.1-8.8%. The findings in this review suggest that follow-up after symptomatic PVD is only necessary in cases of incomplete retinal examination at presentation. Prophylactic treatment of symptomatic retinal breaks must be considered, whereas no unequivocal conclusion could be reached with regard to prophylactic treatment of asymptomatic retinal breaks.

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Section: Posterior Vitreous Detachmentmentioning

confidence: 99%

“…(Richardson et al 1999) The last study examined 354 eyes with PVD and identified 14 retinal tears at study end-point of 6-week follow-up which gives an incidence of delayed retinal breaks of 3.95%. (Williams et al 2011).…”

Section: Posterior Vitreous Detachmentmentioning

confidence: 99%

Prophylactic treatment of retinal breaks – a systematic review

Blindbæk

Grauslund

2014

Acta Ophthalmologica

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“…Interestingly, a meta-analysis by Coffee et al [20] showed an overall incidence of retinal breaks of 21.7% after PVD ranging from 8.2 to 47.6% evaluating 10 studies. As also underlined by Williams et al [19 ]and others [21,22], there are well-known risk factors for the detection of retinal breaks following PVD as e.g. pigmented vitreous granules, vitreous hemorrhage, myopia, underlying retinal pathology, trauma and pseudophakia.…”

Section: Rhegmatogenous Retinal Detachmentmentioning

confidence: 99%

“…This would also explain the higher risk of RD even years after surgery if a PVD occurred after the operation but not necessarily before. Approximately 10–15% of patients with symptomatic PVD suffer from retinal breaks [19]. Interestingly, a meta-analysis by Coffee et al [20] showed an overall incidence of retinal breaks of 21.7% after PVD ranging from 8.2 to 47.6% evaluating 10 studies.…”

Section: Rhegmatogenous Retinal Detachmentmentioning

confidence: 99%

“…However, the risk factors for delayed retinal breaks are less well published but also observed in the meta-analysis of Coffee et al revealing vitreous hemorrhage, retinal hemorrhage or new symptoms [19,20]. Such delayed retinal breaks were described in 1.5–2.1% of cases with uncomplicated PVD [20,23], but this rate was considered to be much higher showing 3.95% up to 6 weeks after symptomatic PVD [19]. The latter results were obtained independently from prior cataract surgery, implicating possibly a higher risk for pseudophakic conditions.…”

Section: Rhegmatogenous Retinal Detachmentmentioning

confidence: 99%

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Retinal Complications after Damaging the Vitreolenticular Barrier

Framme

Wolf²

2011

Ophthalmologica

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This article gives an overview of the vitreal anatomy and its changes in ageing, which have a significant impact on the two main retinal complications after damage of the vitreolenticular barrier, namely retinal detachment and cystoid macular edema. The possible reasons and pathomechanisms for this entity of retinal diseases in the context of anterior segment interaction are highlighted, and a summary of references is provided showing the epidemiology and consequences of such interventions.

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