Posterior Vitreous Detachment



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Another normal mechanism of eye floaters is posterior vitreous detachment or PVD.

Normally there are adhesions between the back surface of the vitreous and the retina and for some reasons like old ages, myopia and trauma; these adhesions will be released causing vitreous to detach from the retina.

Vitreous will collapse inside the posterior segment of the eye and with each eye movement, collapsed vitreous will move, causing eye floaters.

This kind of detachment is normally present in old ages but there are factors which will cause vitreous detachment at young age like myopic patient,intraocular inflammation,trauma,cataract surgery,with YAG laser capsulotomy,diabetic retinopathy and vitreous haemorrhage.

Usually it occurs without complications and only the patients will complain of floaters which usually will disappear after few weeks or months later.

Sometimes, the detachment from the retina is incomplete, in which some parts will remain attached to the retina, causing traction on the retina. This traction will be noticed by the patient as flashes of lights or photopsia and with time this traction can lead to retinal breaks or tears causing the fluid from the vitreous to pass under the retina causing rhegmatogenous retinal detachment.

Important Note

Any patient who noticed floaters and/or photopsia for the first time should have complete ocular examination to rule out any incomplete vitreous detachments with traction on the retina





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