Management of vitreous floaters: an international survey the European VitreoRetinal Society Floaters study report

Zeydanlı, Ece Özdemir; Parolini, Barbara; Özdek, Şengül; Bopp, Silvia; Adelman, Ron A.; Kuhn, Ferenc; Gini, Giampaolo; Sallam, Ahmed; Aksakal, Nur

doi:10.1038/s41433-020-0825-0

Cited by 10 publications

(18 citation statements)

References 25 publications

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“…The major risk of vitrectomy has historically been retinal detachment, currently reported to be 2.5%. 33 In this regard, the first goal of VOV is to remove vitreous gel without tearing the retina (possibly leading to retinal detachment). The defining characteristic of VOV is its aggregate emphasis on safety throughout each step of vitrectomy, resulting in its potential to actually reduce the lifetime risk of retinal detachment in DVS eyes.…”

Section: Discussionmentioning

confidence: 99%

“…The iatrogenic retinal tear rate during vitrectomy has decreased from as high as 37% in the 1970ʹs, 34 to 2–7% today. 33 , 35 , 36 Using the technological innovations of small gauge, cannulated entry, 37 , 38 and the ultra-high-speed suction/cutters recently developed by outstanding corporate partners in the vitreoretinal surgery industry, my experience is that the iatrogenic tear rate can now be further reduced to less than 1%, using VOV techniques.…”

Section: Discussionmentioning

confidence: 99%

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Vitreous Opacity Vitrectomy (VOV): Safest Possible Removal of “Floaters”

Morris¹

2022

OPTH

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Section: Discussionmentioning

confidence: 99%

Section: Discussionmentioning

confidence: 99%

Vitreous Opacity Vitrectomy (VOV): Safest Possible Removal of “Floaters”

Morris¹

2022

OPTH

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“…The 18 eligible studies summarized data on a total of 2077 eyes of 1789 patients with symptomatic vitreous floaters who underwent PPV (Table 1) [15][16][17][18][19][20][21][22][23][24][25][26][27][28][29][30][31][32]. Of these eyes, 1089 were phakic, 862 were pseudophakic, and the baseline lens status was unclear for the remaining 126 eyes.…”

Section: Study Characteristics and Risk Of Bias Within Studiesmentioning

confidence: 99%

Efficacy and Safety of Pars Plana Vitrectomy for Primary Symptomatic Floaters: A Systematic Review with Meta-Analyses

et al. 2022

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Introduction: This study aimed to determine the efficacy and safety of pars plana vitrectomy (PPV) as treatment for patients with primary symptomatic vitreous floaters. Methods: We searched 12 databases for studies performing PPV for primary symptomatic vitreous floaters with at least 3 months follow-up. Two authors reviewed the studies and extracted data. Our main outcome of interest was patient satisfaction/reduction of symptoms/quality of life, but other measures of efficacy and safety were also extracted. Where possible, metaanalyses were performed to provide summary estimates. Results: We identified 18 eligible studies, which included 2077 eyes of 1789 patients. Studies reported that at least 90% of the patients were satisfied or had relief of symptoms. Best corrected visual acuity improved -0.08 logMAR (95% CI -0.10 to -0.06 logMAR, P \ 0.0001). Contrast sensitivity improved -2.26% (95% CI -3.26 to -1.26%, P \ 0.0001). After surgery, cataract occurred in 31.7% (95% CI 21.7-42.7%), retinal tears/breaks in 2.92% (95% CI 1.38-4.97%), vitreous hemorrhage in 1.97% (95% CI 0.83-3.54%), macular edema in 1.70% (95% CI 0.84-2.83%), retinal detachment in 1.54% (95% CI 0.62-2.82%), glaucoma in 1.04% (95% CI 0.53-1.73%), and endophthalmitis in 0.18% (95% CI 0.02-0.45%). Conclusions: Postoperative patient satisfaction is high after PPV for primary symptomatic vitreous floaters. However, the patient should be carefully counselled as what to expect from the treatment and understand the risks associated with PPV.

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“…becoming less true with the surgical advances afforded by micro-incisional vitrectomy surgery [Sommerville, 2015;Milston et al, 2016;Zeydanli et al, 2020].…”

Section: Introductionmentioning

confidence: 99%

“…In dealing with the symptomatic patient, the ophthalmic community is confronted with the difficulty in reconciling often‐unremarkable clinical observations with the occasionally profound symptoms of the patient presenting with SVO [Luff and O'Donnell, 2018 ]. The difficulty is due to multiple factors, which include: a traditional view that chronic vitreous opacity is trivial and of no medical consequence; the scientifically unsubstantiated belief that vitreous opacity will spontaneously migrate out of the sufferer's visual axis or that the patient will become accustomed to or tolerant of the visual disturbances due to their opacity and the historical lack of safe and effective treatments for SVO, although this is becoming less true with the surgical advances afforded by micro‐incisional vitrectomy surgery [Sommerville, 2015 ; Milston et al, 2016 ; Zeydanli et al, 2020 ].…”

Section: Introductionmentioning

confidence: 99%

Optical Scattering from Vitreous Floaters

Harmer

Luff²,

Gini

2021

Bioelectromagnetics

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Vitreous “floaters” are a common entoptic phenomenon that can result in significant reduction in quality of life in a proportion of sufferers. The authors use a computational mathematical model based on Fourier optics and reflection and transmission coefficients calculated for a planar type II collagen opacity suspended in aqueous to show that floaters are perceived by the patient through interference effects that result in significant variations in intensity on the retina when viewing a constant brightness surface. The model also predicts that backscattered intensity from floaters is ten thousand to one million times lower than the variations in intensity produced on the retina, which demonstrates that the visible effects of floaters for the patient can be highly significant, whereas clinical observation of the vitreous may be entirely unremarkable. Importantly, the results also demonstrate that floaters do not need to be opaque to cause symptoms, with only small differences in refractive index between the floater material and the surrounding vitreous needed to produce significant optical effects. The model predicts that pupil size is an important factor in determining the severity of symptoms from floaters, with constricted pupils giving much greater effect than dilated pupils. Finally, the authors’ model predicts that floaters degrade contrast sensitivity function, with greatest degradation occurring in the 5–40 cycles per degree spatial frequency range and that the effects of shadowing caused by floaters are very strongly correlated to the predicted degradation of contrast sensitivity function. Bioelectromagnetics. 43:90–105, 2022. © 2021 The Authors. Bioelectromagnetics published by Wiley Periodicals LLC on behalf of Bioelectromagnetics Society.

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Management of vitreous floaters: an international survey the European VitreoRetinal Society Floaters study report

Cited by 10 publications

References 25 publications

Vitreous Opacity Vitrectomy (VOV): Safest Possible Removal of “Floaters”

Vitreous Opacity Vitrectomy (VOV): Safest Possible Removal of “Floaters”

Efficacy and Safety of Pars Plana Vitrectomy for Primary Symptomatic Floaters: A Systematic Review with Meta-Analyses

Optical Scattering from Vitreous Floaters

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