Last reviewed: November 2017
Last updated: August  2017

Summary

Definition

History and exam

Key diagnostic factors

  • presence of risk factors
  • loss or deterioration of central vision
  • flashes of light
  • loss of peripheral visual field

Risk factors

  • posterior vitreous detachment
  • increasing age
  • myopia exceeding -8 D
  • previous cataract surgery
  • trauma
  • ocular inflammation/infection
  • previous ophthalmic surgery
  • intraocular tumour
  • vitreous haemorrhage
  • affected fellow eye
  • diabetes mellitus
  • peripheral retinal degeneration
  • anatomical abnormality
  • age-related macular degeneration

Diagnostic investigations

1st investigations to order

  • visual acuity testing
  • slit-lamp examination
  • indirect ophthalmoscopy
Full details

Investigations to consider

  • B-scan ultrasonography of affected eye
  • CT/MRI of orbit
Full details

Treatment algorithm

Contributors

Authors VIEW ALL

Ferenc Kuhn

Director of Clinical Research

Helen Keller Foundation for Research and Education

Associate Professor of Ophthalmology

University of Alabama at Birmingham

Birmingham

AL

Consultant and Chief Vitreoretinal Surgeon

Milos Klinika

Belgrade

Serbia

Consultant

Zagorskiego Klinik

Nałęczów/Rzeszów

Poland

Disclosures

FK declares that he has no competing interests.

Dr Kuhn would like to gratefully acknowledge Dr Robert Morris, a previous contributor to this monograph. RM declares that he has no competing interests.

Peer reviewers VIEW ALL

Consultant Ophthalmologist

Sunderland Eye Infirmary

Sunderland

UK

Disclosures

DS declares that he has no competing interests.

Professor and Chairman of Ophthalmology

Mayo Clinic

Jacksonville

FL

Disclosures

MWS declares that he has no competing interests.

Associate Professor of Ophthalmology

Yale University School of Medicine

New Haven

CT

Disclosures

RA declares that he has no competing interests.

Consultant Ophthalmologist

Sunderland Eye Infirmary

Sunderland

UK

Disclosures

SF declares that he has no competing interests.

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