post vitreous detachment

Discussion in 'Optometry Archives' started by rabbit, Sep 30, 2006.

  1. rabbit

    rabbit Guest

    I experienced the floaters and flashes about three weeks ago. I saw
    one opthamologist who found nothing re: retinal tear or detachment. He
    used a set of mirrors and bright lights to see into the eye.

    The eye with the pvd seems to have a slight haze as though my glasses
    are dirty. The opthamologist said the pvd might stir up protein in the
    vitreous and this could be causing the haze or mist.

    Today I went to another opthamologist (2nd opinion) who performed
    "scleral depresssion" and also found nothing wrong iwth the retina.
    The haze or mist continues and seems to be a bit worse.

    Could the poking around with the scleral depression exacerbate the
    haze? Could the procedure itself bring on a retinal detachment?
    Scleral depression seems be a bit "invasive" as something is attached
    to the eye.

    Also for those who have or are going through this: Is the mist or haze
    in this eye a continuing feature. A new normal? Or will it settle
    down? I understand that the eye/brain eventually adjusts to the
    floaters. Will the same thing happen with the haze/mist?

    Like most the issues with eyes are anxiety provoking. There is a
    history of retinal detachment in my family. I am 70 years of age.
     
    rabbit, Sep 30, 2006
    #1
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  2. rabbit

    gudrun17 Guest

    I had a pvd two years ago Sept., and I'm sorry to tell you that the
    floaters and haze are still there. That said, I know they do eventually
    fade for some people or at least become less noticeable.

    I've never heard of scleral depression causing a retinal tear. Since
    most tears occur at the far edges, scleral depression is necessary so
    that the specialist can view these areas.
    -Gudrun
     
    gudrun17, Oct 3, 2006
    #2
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  3. rabbit

    Dr. Leukoma Guest

    You may have some diffuse blood cells in the vitreous secondary to the
    PVD. It's smart that you were checked out by two specialists to rule
    out a tear. I saw a tear a couple of weeks ago. It was difficult to
    identify as a tear with binocular indirect. However, another lens gave
    a better perspective and revealed an early flap, the edge of which was
    obscuring the hole. Tricky stuff.

    DrG
     
    Dr. Leukoma, Oct 4, 2006
    #3
  4. That is the value of using scleral depression with the binocular indirect:
    the indentation is really helpful in identifying holes and tears that
    otherwise can be obscured or hidden.
     
    David Robins, MD, Oct 4, 2006
    #4
  5. rabbit

    Dr. Leukoma Guest

    Except in this case. My patient also had a significant heme that
    reduced the vision to 20/50 and I didn't want to risk further bleeding
    from the vessel that was bridging the flap. I wanted the retinal
    specialist to be able to visualize the field the next day.

    Otherwise, I agree.

    DrG
     
    Dr. Leukoma, Oct 4, 2006
    #5
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