Doctor insights on:
Medicine For Posterior Vitreous Detachment
Collaborative care: For this, you really need the care of a good ophthalmologist to start with. A homeopathic physician would be able to also assess your symptoms from his/her perspective and find the homeopathic medicine that might work well for you in conjunction with conventional treatment. Although there are multiple medicines possible, homeopathic gelsemium is one known to help in retinal detachment. ...Read more
The vitreous jelly is normally attached to the back of the eye (posteriorly), to the optic nerve and macula (central retina). When this collagenous jelly separates from these normal attachment areas, it's called a posterior vitreous detachment (pvd). This happens with age (normal and most common reason), trauma, eye surgery, nearsightedness. A retinal tear or detachment ...Read more
Is there any drug to reduce vitreo-retinal traction and adhesion? Can they be used during posterior vitreous detachment to prevent retinal tears?
No: In the absence of retinal inflammation or uveitis, there are no oral or topical drugs which decrease vitreo-retinal traction. If their is inflammation in the eye, the cause of this needs to be discovered and treated appropriately. There is no drug that you can take while a posterior vitreal detachment is occurring. You should be checked for the presence of significant retinal breaks. ...Read more
A posterior vitreous detachment is a condition of the eye in which the vitreous humour separates from the retina.
Broadly speaking, the condition is common for older adults and over 75% of those over the age of 65 develop it. Although less common among people in their 40s or 50s, the condition is not rare for those individuals. Some research has found that the condition is more common among women. ...Read more
Yes, it can: A posterior vitreous detachment (PVD) is a condition of the eye in which the vitreous membrane separates from the retina. A common symptom is flashes of light (photopsia). There is a small risk of a retinal tear / detachment. Duration of PVD is usually 4-6 weeks, but can be sudden (trauma), days (after cataract surgery), months, or rarely a year or more. Nearsighted people tend to get PVD earlier. ...Read more
Normal aging: Vitreous detachment is a normal aging process of the gel that fills the back of the eye. Usually it detaches silently but sometimes it happens in a few locations with light flashes, floaters and visual changes. Since these symptoms are the same as retinal detachment these symptoms should always be evaluated by an ophthalmologist when they occur. ...Read more
Needs evaluation: Hopefully you have been evaluated to be certain there is no underlying retinal detachment. The debris from a vitreous detachment in the absence of a retinal detachment, generally clears up in several weeks but commonly leaves a few spots or strings of stuff that you can see in your vision lasting sometimes for years. ...Read more
Floaters: Typically the only consequence of having a posterior vitreal detachment (PVD) is the perception of floating objects in your vision. Rarely, the PVD can be associated with tears in the peripheral retina and holes/swelling of the central retina. Follow up as directed by your eye doctor after the diagnosis of PVD in order to check for these complications. ...Read more
Rule out retina hole: Typical vitreous detachments are a normal aging process of the jelly in the vitreous cavity. If you develope floaters and/or flashes you should seek the care of an ophthalmologist to evaluate you for a retinal tear or hole or a retinal detachment. If no problems are found no treatment is needed. The floaters usually subside, to the most part, over weeks and months but may not totally go away. ...Read more
Vitreous separation: The vitreous jelly is normally attached to the back of the eye (posteriorly), to the optic nerve and macula (central retina). When this collagenous jelly separates from these normal attachment areas, it's called a posterior vitreous detachment (pvd). This happens with age (normal and most common reason), trauma, eye surgery, nearsightedness. A retinal tear or detachment can also be concurrent. ...Read more
See below: It is difficult to tell whether there is a retinal detachment by the patient him/her self when there are vitreous detachment symptoms. Flashes and floaters are warning signs, but very non-specific. If there is peripheral vision loss that progresses and closes in on central vision, than that is quite likely a retinal detachment. Especially if accompanied or presided by flashes and or floaters. ...Read more
How do we know posterior vitreous detachment has completed, is there any way to know this, I mean in young high myopic like me, will it last forever?
Yes: Your ophthalmologist will be able to know if the PVD is complete, but you may well have symptoms forever. ...Read more
If prior retinal tear, risk at 60 of developing a retinal detachment or a posterior vitreous detachment?
See a retina special: You do have a somewhat increased risk of developing a retinal detachment if you've had a retinal tear (even if it was treated), though you should speak to your retina specialist to gauge your true risk based on your exam. Everyone develops posterior vitreous detachments as we age - that is regardless of having had a tear or not. ...Read more
Hw long does posterior vitreous detachment usually take in 30-40 age group of high myopes according to your experience? Does pvd last a lifetime 4 dem
4-6 weeks; yes: Most often PVD takes 4 to 6 weeks to complete, but that time can vary greatly from instant to more than one year. Once the vitreous detaches, it does not ever reattach. There would be no advantage to the patient if it did. ...Read more
Does vitreous degeneration always lead to a posterior vitreous detachment (pvd) or pvd may not happen altogether in presence of vitreous degeneration?
PVD: Vitreous degeneration almost always leads to a pvd. Most pvds are benign, but a few may lead to a retinal tear or detachment...So they should be seen by your local eye doctor. ...Read more
In time? Yes.: If you are asking can you have first one eye, and then much later experience a PVD in the other eye, then yes, very possible. Usually pvds occur spontaneously, although they can occur from trauma as well. ...Read more
Could getting posterior vitreous detachment automatically mean you will one day get retinal detachment?
PVD = RD? Sometimes: A posterior vitreous detachment or PVD can occur spontaneously and is perfectly normal. This separation of vitreous from the retina can sometimes result in a tear and/or detachment. This is the exception rather than the rule. Signs of a PVD are new floaters or flashes in the eye. About 15% of patient's with acute symptoms of PVD have retinal tears. A dilated retinal exam is essential! ...Read more
How long does posterior vitreous detachment cycle last? Does it start the moment you see floaters or the moment you see flashes of lights?
Does doing a laser retinopexy around areas of lattice degeneration reduce the risk of tractional tears ensuing from posterior vitreous detachment?
Yes, it should reduce: Yes, the decision for retinopexy is best made by retina subspecialist who can assess whether the degree of lattice ; or the presence of high risk thinning would warrant the risks. Retinopexy creates a tighter bonding so that in event of PVD there is lower likelihood of retinal tears. ...Read more
Can a 'complete' posterior vitreous detachment (pvd) be sometimes not associated with flashes of light at all, and have symptoms of only floaters?
Can lasik delay or prevent Posterior vitreous detachment in a person who is severely shortsighted?
No known effect: Although there can be an increase in lasik, no one has ever been able to show that this actually causes a PVD. Not surprisingly, there has also been little evidence to show that it causes tears or detachments. One thing we do know, however, is that it can significantly increase the eye pressure which may impact the optic nerve in patients with glaucoma.la ...Read more
During posterior vitreous detachment, the vitreous separates from the macula first or peripheral retina or no preference?
Generally peripheral: Vitreous degeneration, the conversion of the vitreous gel into a dense syrup, usually starts peripherally and eventually involves the center including the macula. In most cases it is a benign and normal event but if adhesions exist, then the retinal can lift up and tear or become detached. ...Read more
If posterior vitreous detachment happen in yung high myopic like me without retinal tear, is der a chance of future retinal tear due 2 cataract/glucoma?
Higher: The risk is probably 10 x greater than a patient without these characteristics. Risk ia about 1/1000 unless you have a family history. Having glaucoma and a cataract do not increase this risk. Having cataract surgery does increase the risk of retinal tears. You should talk your eye md. ...Read more
Growth of cells: During a posterior vitreous detachment, the vitreous in the middle of the eye peels off the retina that lines the inside of the eye wall. This change happens in almost everyone. Sometimes remnant cells left after the separation grow into a sheet or 'epiretinal membrane' on the surface of the retina. ...Read more
Why do post-cataract surgery retinal detachments occur? Is there some retinal pulling involved from posterior vitreous detachment (pvd)?
Destabilization: The natural lens and its supports stabilize the front of the eye and vitreous. Removal of the thick natural lens and substitution with a thin artificial lens, increases the chance for the vitreous to move in ways that can destabilize the attachments of the vitreous over the retina. If there are weak places, this can increase the chance of detachment, even in the best of cataract surgeries. ...Read more
If posterior vitreous detachment is caused by inflammation, is there any way of reducing this inflammation? I am 44 and have pvd in one eye already.
I have a posterior vitreous detachment. Will the floaters/blurriness improve with time? What is the likelihood of it becoming a retinal detachment?
vitreous detachment: The fluid that fills the back of the eye ages like everything else. When it detaches, the area that held onto the optic nerve moves in front of the retina casting a shadow that you see as a floater. It has no way of leaving the eye but will gradually move to a less annoying position and you will learn to ignore it, mostly. The risk of retinal tear is 1 in 50; detachment is about 1 in 1000. ...Read more
What does eye flashes due to Posterior Vitreous Detachment look like? Streaks of bright light or vision flickering on and off or is it something else?
Vitrous : what use?: Vitreous is the gel that occupies the middle of the eye ball. Lightning flashes are generated by vitreous tugging on retina during eye movement. When a posterior vitreous detachment occurs, there may initially be residual areas where the vitreous remains attached to the retina, causing these light flashes. Patients have described these flashes as "a sparkle or twinkl ...Read more
For someone who had posterior vitreous detachment completed prior to cataract surgery, what is the risk of post-cataract surgery retinal detachment?
Had posterior vitreous detachment in eye. Saw eye dr. Says I am ok how long does cloudy vision light flashes last? I will be checked again by dr.
None needed: The vitreous, a gel that fills the space between the lens and retina in the back of the eye, can lift off its moorings as a natural process of aging. This usually is asymptomatic but may be accompanied by light flashes and floaters. If diagnosed by an ophthalmologist as pvd, then you need no treatment but should be alert for worsening changes in the symptoms. ...Read more
Risk % of rd for someone with multiple lattice undergoing symptomatic posterior vitreous detachment? Prophylactic laser treatment recommended?
You are at increased risk for retinal detachment. I recommend being cautious with surgery for floaters. Wait at least one year before proceeding with surgery. If they still persist and are unbearable then consider surgery. Symptoms usually resolve or improve with time in 99% of the people.
Consult with a retina specialist to determine if prophylactic laser is indicated. ...Read more
Has the injectable diabetes drug, bydureon, (exenatide) been linked to shrinking vitreous or vitreous detachment? This happened to me after 5 months on this drug
Not aware of: Not aware of this occurring, however it is recommended to report this to the manufacturer as they track all possible side effects and would be more than willing to disclose any reactions they have documented on file. You can google the co. And I am sure find a toll free 1-800 "pharmacovigilence#.". ...Read more
See a retina special: As we age, the vitreous jelly pulls away from the retina (a posterior vitreous detachment). New or worse floaters in your vision or flashing lights or loss of peripheral vision (like a curtain or veil obstructing the vision) could indicate a retinal detachment. These symptoms require an urgent dilated retinal exam. Do not delay. ...Read more
Yes: The vitreous jelly that fills the eye and attaches to the back wall of the inside of the eye (the retina) will detach from the retina with age (posterior vitreous detachment). At that time or days/weeks later a retinal tear or detachment may or may not occur as well. The latter conditions require urgent treatment before blindness ensues. A vitreous detachment is not treated. ...Read more
Unusual case: Vitreous detachment is very rare in this age group and usually only comes about from pathology of the eye or trauma. Vitreous detachment usually starts in middle age. There is no "treatment" for this as it is a natural progression in the eye. If this is occurring in a 14 year old, then it must be investigated by an ophthalmologist to rule out concurrent disease. ...Read more