II. Pathophysiology
III. Risk Factors
- Severe near-sightedness
-
Anticoagulants decrease the risk of Retinal tear (listed in order of protective effect)
- Warfarin (most protective)
- Clopidogrel
- Aspirin
- NSAIDs (least protective)
IV. Epidemiology
- Age
- May occur in younger patients with severe near sightedness (predisposes to Retinal traction)
- Typically occurs in age >55 years old
- Prevalence over age 60 years: 25%
- Prevalence over age 70 years: 66%
V. Symptoms
VI. Differential Diagnosis
- Retinal Tear
- Retinal Detachment
VII. Precautions: Red Flags with higher risk of Retinal Detachment or tear
- Decreased Vision or Visual Field loss
- Relative Afferent Pupillary Defect (RAPD)
- Retina obscured on Funduscopic Exam
- Sudden increase in number of Floaters (esp. >10 and if preceded by shower of black dots)
VIII. Management
- Urgent evaluation
- Obtain a formal ophthalmology evaluation with dilated indirect exam within 24 hours
- Evaluate for Retinal tear or Retinal Detachment
- Subsequent evaluation
- Repeat exam in 4-6 weeks may be recommended (even if no tear or detachment on initial evaluation)
- Indicated to evaluate for progression (may not be needed if number of Floaters does not increase)
IX. Complications
-
Retinal tear (10-15% risk)
- Associated with Photopsias (Light Flashes)
-
Retinal Detachment (9% risk)
- Progresses from tear
X. References
- Sales, Patel and Patel (2019) Crit Dec Emerg Med 33(12): 3-13
- Hartmann (2016) Crit Dec Emerg Med 30(6): 3-11
- Yu and Jasani (2024) Crit Dec Emerg Med 38(1): 27-34
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Related Studies
| Definition (MSH) | Detachment of the corpus vitreum (VITREOUS BODY) from its normal attachments, especially the retina, due to shrinkage from degenerative or inflammatory conditions, trauma, myopia, or senility. |
| Concepts | Disease or Syndrome (T047) |
| MSH | D020255 |
| ICD10 | H43.81 |
| SnomedCT | 53772007, 393583008, 267747007, 155202007 |
| English | VITREOUS DETACHMENT, Vitreous separation, vitreous detachment, Detachment, Vitreous, Detachments, Vitreous, Vitreous Detachment, Vitreous Detachments, vitreous detachment (physical finding), eye vitreous detached, Vitreous Detachment [Disease/Finding], Detachment;vitreous, detachment vitreous, vitreous detachments, VITREOUS, DETACHMENT OF, DETACHMENT OF VITREOUS, Vitreous detachment, Vitreous detachment (disorder) |
| Italian | Distacco vitreale, Distacco del corpo vitreo |
| Spanish | separación del cuerpo vítreo, desprendimiento del vítreo, separación vítrea, desprendimiento de la gelatina vítrea, desprendimiento del vítreo (trastorno), separación vítrea (trastorno), VITREO, DESPRENDIMIENTO, Desprendimiento del cuerpo vítreo, Desprendimiento del Vítreo |
| Japanese | 硝子体剥離, ｼｮｳｼﾀｲﾊｸﾘ |
| Swedish | Glaskroppsavlossning |
| Czech | sklivec - odchlípení, Odchlípení sklivce |
| Finnish | Lasiaisirtauma |
| Russian | STEKLOVIDNOGO TELA OTSLOIKA, STEKLOVIDNOGO TELA OTSLOIKA ZADNIAIA, СТЕКЛОВИДНОГО ТЕЛА ОТСЛОЙКА, СТЕКЛОВИДНОГО ТЕЛА ОТСЛОЙКА ЗАДНЯЯ |
| French | DECOLLEMENT DU VITRE, Décollement du corps vitré, Décollement du vitré, Décollement vitréen |
| Portuguese | DESCOLAMENTO VITREO, Descolamento do vítreo, Descolamento do Vítreo |
| German | GLASKOERPERABLOESUNG, Glaskoerperabloesung, Glaskörperabhebung (Auge) |
| Polish | Oddzielenie ciała szklistego tylne, Oddzielenie ciała szklistego |
| Hungarian | Üvegtesti hátsó határhártya leválás |
| Norwegian | Løsning av corpus vitreum, Corpus vitreum-løsning, Glasslegemeløsning |
| Dutch | glasvochtloslating, Corpus-vitreumloslating, Loslating, corpus-vitreum- |
Ontology: Posterior Vitreous Detachment (C0423361)
| Concepts | Disease or Syndrome (T047) |
| MSH | D020255 |
| SnomedCT | 247081001 |
| English | PVD - Post vitreous detachment, Detachment, Posterior Vitreous, Detachments, Posterior Vitreous, Posterior Vitreous Detachments, Vitreous Detachment, Posterior, Vitreous Detachments, Posterior, posterior vitreous detachment (diagnosis), posterior vitreous detachment, Post vitreous detachment, post vitreous detachment, PVD - Posterior vitreous detachment, Posterior vitreous detachment, Posterior vitreous detachment (disorder), Posterior Vitreous Detachment |
| Dutch | achterste glasvochtloslating, status na glasvochtloslating, Posterieure vitreuze loslating |
| French | Décollement postérieur du corps vitré, Décollement derrière le corps vitré, Décollement postérieur du vitré |
| German | Abhebung des hinteren Glaskoerpers, hintere Glaskoerperabloesung, Hintere Glaskörperabhebung (Auge) |
| Italian | Distacco posteriore del corpo vitreo, Distacco del corpo vitreo posteriore |
| Portuguese | Descolamento pós-vítreo, Descolamento vítreo posterior, Descolamento do Vítreo Posterior |
| Spanish | Desprendimiento posterior del humor vitreo, Desprendimiento vítreo posterior, Desprendimiento del Vítreo Posterior, desprendimiento vítreo posterior (trastorno), desprendimiento vítreo posterior |
| Japanese | 後部硝子体剥離, ｺｳﾌﾞｶﾞﾗｽﾀｲﾊｸﾘ, ｺｳﾌﾞｼｮｳｼﾀｲﾊｸﾘ |
| Czech | odchlípení zadního sklivce, Odchlípení zadní plochy sklivce, Oddělení zadní plochy sklivce |
| Hungarian | Üvegtest leválás utáni, Hátsó üvegtesti leválás |
| Norwegian | Bakre glasslegeme-løsning, Posterior vitreum-løsning, Løsning av bakre corpus vitreum, Bakre corpus vitreum-løsning, Løsning av bakre glasslegeme |
