Resumo
Definição
História e exame físico
Principais fatores diagnósticos
- loss or deterioration of central vision
- flashes of light
- loss of peripheral visual field
Outros fatores diagnósticos
- floaters
Fatores de risco
- posterior vitreous detachment
- increasing age
- myopia
- previous cataract surgery
- trauma
- previous ophthalmic surgery
- intraocular tumor
- vitreous hemorrhage
- affected fellow eye
- diabetes mellitus
- retinopathy of prematurity
- ocular inflammation/infection
- peripheral retinal degeneration
- anatomic abnormality
- age-related macular degeneration
- phosphodiesterase-5 inhibitor use in men
- genetic and vascular causes in childhood
- childhood tumors
Investigações diagnósticas
Primeiras investigações a serem solicitadas
- visual acuity testing
- slit-lamp exam
- indirect ophthalmoscopy
Investigações a serem consideradas
- wide-field color photography
- optical coherence tomography (affected eye)
- B-scan ultrasonography (affected eye)
- CT/MRI of orbit
Algoritmo de tratamento
posterior vitreous detachment without break/tear
retinal hole/tear without detachment
rhegmatogenous RD
tractional RD
exudative RD
hemorrhagic RD
Colaboradores
Autores
Ferenc Kuhn, MD, PhD

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
Department of Ophthalmology
University of Pécs Medical School
Pécs
Hungary
Declarações
FK declares that he has no competing interests.
Agradecimentos
Dr Kuhn would like to gratefully acknowledge Dr Robert Morris, a previous contributor to this monograph. RM declares that he has no competing interests.
Revisores
David Steel, MBBS, FRCOphth
Consultant Ophthalmologist
Sunderland Eye Infirmary
Sunderland
UK
Declarações
DS declares that he has no competing interests.
Michael W. Stewart, MD
Professor and Chairman of Ophthalmology
Mayo Clinic
Jacksonville
FL
Declarações
MWS declares that he has no competing interests.
Ron Adelman, MD, MPH, FACS
Associate Professor of Ophthalmology
Yale University School of Medicine
New Haven
CT
Declarações
RA declares that he has no competing interests.
Scott Fraser, MD, FRCS (Ed), FRCOphth
Consultant Ophthalmologist
Sunderland Eye Infirmary
Sunderland
UK
Declarações
SF declares that he has no competing interests.
Créditos aos pareceristas
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Declarações
As afiliações e declarações dos pareceristas referem--se ao momento da revisão.
Referências
Principais artigos
Kim SJ, Bailey ST, Kovach JL, et al. Posterior vitreous detachment, retinal breaks, and lattice degeneration preferred practice pattern®. Ophthalmology. 2025 Apr;132(4):P163-96.Texto completo
American Academy of Ophthalmology. Referral of persons with possible eye diseases or injury - 2014. Apr 2014 [internet publication].Texto completo
Hikichi T, Trempe CL. Relationship between floaters, light flashes, or both, and complications of posterior vitreous detachment. Am J Ophthalmol. 1994;117:593-8. Resumo
Znaor L, Medic A, Binder S, et al. Pars plana vitrectomy versus scleral buckling for repairing simple rhegmatogenous retinal detachments. Cochrane Database Syst Rev. 2019 Mar 8;(3):CD009562.Texto completo Resumo
Sena DF, Kilian R, Liu SH, et al. Pneumatic retinopexy versus scleral buckle for repairing simple rhegmatogenous retinal detachments. Cochrane Database Syst Rev. 2021 Nov 11;(11):CD008350.Texto completo Resumo
Artigos de referência
Uma lista completa das fontes referenciadas neste tópico está disponível para os usuários com acesso total ao BMJ Best Practice.

Diagnósticos diferenciais
- Vitreomacular traction
- Retinoschisis
- Diabetic retinopathy
Mais Diagnósticos diferenciaisDiretrizes
- Posterior vitreous detachment, retinal breaks, and lattice degeneration preferred practice pattern®
- Retina summary benchmarks - 2024
Mais DiretrizesFolhetos informativos para os pacientes
Macular degeneration
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