Doctor insights on:
Many possible causes: As we age, the vitreous may pull away from its attachment to the retina at the back of the eye. If the vitreous pulls hard enough to tear the retina in one or more places, fluid may pass through, lifting the retina off the back of the eye, causing it to detach. Some risk factors for detachment are: nearsightedness, trauma to the eye or a family history of retinal detachment. ...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 moreSee 2 more doctor answers
They are the same: Lattice degeneration is a thinning of the peripheral retina from the vitreous gel "pulling" on the retina with a distinctive whitening of the retinal blood vessels. This forms an oval or round patch of "lattice" white blood vessels and a thinned retina. Lattice can be associated with round retinal holes from the thinning and retinal tears at the edge-this can result in retinal detachment. ...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
Wouldnt pars plana vitrectomy reduce the risk of retinal tears or detachments due to vitreoretinal traction for someone with lattice and vitr degen?
You can't: Lattice degeneration is a thinning of the peripheral retina from the vitreous gel "pulling" on the retina with a distinctive whitening of the retinal blood vessels. This forms an oval or round patch of "lattice" white blood vessels and a thinned retina. Lattice can be associated with round retinal holes from the thinning and retinal tears at the edge-this can result in retinal detachment. ...Read more
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
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
Lattice Degeneration: Lattice degeneration is a condition where the retina becomes thinned and is often associated with nearsightedness. Patients who have this should have regular retinal evaluations since lattice are associated with retinal tears which can lead to a retinal detachment. Lattice degeneration is not associated with dry eyes. ...Read moreSee 1 more doctor answer
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