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Medical Forum / General / Vision / October 2006post vitreous detachment
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. > I experienced the floaters and flashes about three weeks ago. I saw > one opthamologist who found nothing re: retinal tear or detachment. He [quoted text clipped - 20 lines] > 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. 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 >Could the poking around with the scleral depression exacerbate the >haze? Extremely unlikely. >Could the procedure itself bring on a retinal detachment? No. There is absolutely no evidence to indicate that properly performed scleral indentation can cause or worsen a retinal break. About the only time scleral indentation should not be performed is acutely with a hyphema or severe trauma to the globe. [snip] >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. I would try not to worry. You have been examined by two different OMDs one who performed binocular indirect ophthalmoscopy with scleral depression and another who (from the sounds of your description) used a Goldmann-type 3-mirror contact lens. I would continue to have periodic checks until about 6 months or until the vitreous is completely detached. 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 > I experienced the floaters and flashes about three weeks ago. I saw > one opthamologist who found nothing re: retinal tear or detachment. He [quoted text clipped - 20 lines] > 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. 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. On 10/3/06 9:30 PM, in article 1159936223.727886.128940@h48g2000cwc.googlegroups.com, "Dr. Leukoma" <drg@leukoma.com> wrote: > 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 [quoted text clipped - 29 lines] >> 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. > 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. 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 |
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