Doctor insights on:
Operculated Retinal Tear
Yes: Most common procedure to repair a retinal detachment resulting from a macular hole is a vitrectomy (remove the fluids from the back of the eyeball), replace it with a gas, and position the patient face down for some period of time (sometimes weeks) to allow the hole to close and the detachment to resolve. Most macular holes do not cause a detached retina, but many require a similar operation. ...Read moreSee 1 more doctor answer
Low risk procedure: A retinal tear can be surrounded by laser, which helps to prevent retinal detachment. One complication is that the treatment is not adequate, and a detachment happens anyway. There can be some discomfort during the laser procedure, but there is virtually no risk of inflammation, and no risk of infection. It is remotely possible that the laser could be applied to an unintended part of the retina. ...Read moreSee 1 more doctor answer
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 moreSee 2 more doctor answers
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 moreSee 1 more doctor answer
Wouldnt pars plana vitrectomy reduce the risk of retinal tears or detachments due to vitreoretinal traction for someone with lattice and vitr degen?
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 moreSee 1 more doctor answer
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
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
Normal process: The vitreous is a gel that fills the back of the eye, holding everything in place (it is why boxers can do what they do). Starting in middle age, the vitreous changes to a dense fluid and detaches from its normal position. This sometimes causes floaters and light flashes, Usually it is benign, but it is universal and can be detected by an ophthalmologist as a P.V.D. ...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 moreSee 1 more doctor answer
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 moreSee 1 more doctor answer
Does vitreous degeneration always lead to a posterior vitreous detachment (pvd) or pvd may not happen altogether in presence of vitreous degeneration?
Can anyone tell me is vitreous detachment after a retinal detachment surgery risking another retinal detachment?
Unusual: Most retinal detachments are preceded by a vitreous detachment. There are some exception, however those are uncommon or rare. As such, it is unlikely to have a vitreous detachment following retinal re-attachment surgery. If there was no vitreous detachment prior to retina re-detachment surgeyr, and no vitrectomy was done, a vitreous detachment could occur with it's risks. ...Read more
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