Back to Journals » Clinical Ophthalmology » Volume 11

Posterior vitreous detachment - prevalence of and risk factors for retinal tears

Authors Bond-Taylor M, Jakobsson G, Zetterberg M

Received 13 June 2017

Accepted for publication 27 July 2017

Published 18 September 2017 Volume 2017:11 Pages 1689—1695

DOI https://doi.org/10.2147/OPTH.S143898

Checked for plagiarism Yes

Review by Single-blind

Peer reviewers approved by Dr Amy Norman

Peer reviewer comments 3

Editor who approved publication: Dr Scott Fraser

Martin Bond-Taylor,1 Gunnar Jakobsson,1,2 Madeleine Zetterberg1,2

1Department of Ophthalmology, Sahlgrenska University Hospital, Mölndal, 2Department of Clinical Neuroscience/Ophthalmology, Institute of Neuroscience and Physiology, Sahlgrenska Academy at University of Gothenburg, Gothenburg, Sweden

Purpose: The present study aimed to describe clinical characteristics of patients with posterior vitreous detachment (PVD), to determine the prevalence of retinal tears in PVD patients, and to find predictors for retinal tears in this patient group.
Methods: Retrospective analysis of medical records on patients diagnosed with PVD, retinal tears, or vitreous hemorrhage at the Department of Ophthalmology at Sahlgrenska University Hospital, a tertiary eye center.
Results: Between February and July 2009, 365 patients consulted the Department of Ophthalmology for PVD-related symptoms. The incidence of retinal tears was 14.5% (n=53) and that of vitreous and/or retinal hemorrhage was 22.7% (n=83). For analysis of possible predictors for complications to PVD, patients diagnosed with retinal tears or vitreous hemorrhage between May and July 2009 were also included in the study, resulting in a total of 426 patients. Predictors of a retinal tear were symptoms of visual impairment (P=0.024), the presence of vitreous or retinal hemorrhage at examination (P<0.001), and a duration of symptoms for <24 hours (P=0.004). Symptoms of flashes did not constitute an extra risk of retinal tears (P=0.135). Subsequent retinal pathology (follow-up time 4.5 years), including vitreous detachment/hemorrhage or retinal tears/detachment, occurred more often in patients presenting with a retinal tear. For patients with a retinal tear, the relative risk of having a retinal detachment in the same eye during the follow-up time was 17.7 when compared to patients without a retinal tear (risk ratio 17.7, 95% confidence interval 2.2–145).
Conclusion: Patients seeking care on the first day have a higher risk of retinal tears. Also, symptoms of visual loss or a history of previous PVD-related pathology and vitreous/retinal hemorrhage at examination indicate a substantially higher risk of retinal complications. These findings may lead to better management and order of priority among these patients.

Keywords: posterior vitreous detachment, retinal detachment, retinal hemorrhage, retinal tear
 

Creative Commons License This work is published and licensed by Dove Medical Press Limited. The full terms of this license are available at https://www.dovepress.com/terms.php and incorporate the Creative Commons Attribution - Non Commercial (unported, v3.0) License. By accessing the work you hereby accept the Terms. Non-commercial uses of the work are permitted without any further permission from Dove Medical Press Limited, provided the work is properly attributed. For permission for commercial use of this work, please see paragraphs 4.2 and 5 of our Terms.

Download Article [PDF]  View Full Text [HTML][Machine readable]

 

Other articles by this author:

Phacoemulsification with primary implantation of an intraocular lens in patients with uveitis

Pålsson S, Andersson Gronlund M, Skiljic D, Zetterberg M

Clinical Ophthalmology 2017, 11:1549-1555

Published Date: 22 August 2017

Amaurosis fugax – delay between symptoms and surgery by specialty

Kvickström P, Lindblom B, Bergström G, Zetterberg M

Clinical Ophthalmology 2016, 10:2291-2296

Published Date: 17 November 2016

Amaurosis fugax: risk factors and prevalence of significant carotid stenosis

Kvickström P, Lindblom B, Bergström G, Zetterberg M

Clinical Ophthalmology 2016, 10:2165-2170

Published Date: 31 October 2016