Posterior vitreous detachment - Revision history

Rossdonaldson1: /* Evaluation */

2025-07-30T21:28:43Z

Evaluation

← Revisión anterior		Revisión del 21:28 30 jul 2025
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	==Evaluation==		==Evaluation==
			[[File:Vitreous Floaters.jpg\|thumb\|[[Fundoscopic exam]] showing a Weiss ring: a large, ring shaped floater that is sometimes seen if the vitreous body releases from the back of the eye.]]
	===Workup===		===Workup===
	* Detailed history (onset, nature of floaters/flashes, visual changes)		* Detailed history (onset, nature of floaters/flashes, visual changes)
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	* Clinical diagnosis based on symptoms and direct visualization of a detached posterior hyaloid membrane or Weiss ring on fundoscopic or slit-lamp exam		* Clinical diagnosis based on symptoms and direct visualization of a detached posterior hyaloid membrane or Weiss ring on fundoscopic or slit-lamp exam
	* Confirm absence of retinal tear or detachment via dilated eye exam or imaging		* Confirm absence of retinal tear or detachment via dilated eye exam or imaging


	==Management==		==Management==

Rossdonaldson1: /* Background */

2025-07-30T21:20:42Z

Background

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	==Background==		==Background==
			[[File:Schematic diagram of the human eye en.png\|thumb\|Eye anatomy.]]
	*A common age-related condition in which the vitreous gel that fills the eye separates from the retina.		*A common age-related condition in which the vitreous gel that fills the eye separates from the retina.
	*Separation of posterior vitreous from the retina, as a result of vitreous degeneration and shrinkage		*Separation of posterior vitreous from the retina, as a result of vitreous degeneration and shrinkage

Rossdonaldson1: /* Workup */

2025-05-21T20:42:41Z

Workup

← Revisión anterior		Revisión del 20:42 21 may 2025
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	* Dilated fundoscopic exam (to assess for retinal tear or detachment)		* Dilated fundoscopic exam (to assess for retinal tear or detachment)
	* Slit-lamp exam with vitreous evaluation		* Slit-lamp exam with vitreous evaluation
	* B-scan ocular ultrasound if fundus not visible due to hemorrhage or opacity <ref> American Academy of Ophthalmology. Posterior Vitreous Detachment. Accessed April 2025. https://www.aao.org </ref>		* B-scan [[ocular ultrasound]] if fundus not visible due to hemorrhage or opacity <ref> American Academy of Ophthalmology. Posterior Vitreous Detachment. Accessed April 2025. https://www.aao.org </ref>

	===Diagnosis===		===Diagnosis===

Rossdonaldson1: /* Management */

2025-05-21T20:23:49Z

Management

← Revisión anterior		Revisión del 20:23 21 may 2025
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	==Management==		==Management==
	* ~~Uncomplicated PVD:~~ No ~~treatment required~~; ~~reassure patient and educate on warning signs~~ of ~~retinal detachment~~		*See disposition chart below
	* With retinal tear or detachment: Urgent referral to ophthalmology; treatment may involve laser photocoagulation, cryotherapy, or surgical repair		*No specific ED; focus of care is in determination of rapidity of ophthalmologic evaluation
	* Monitor: Regular follow-up with eye exams over subsequent weeks

	==Disposition==		==Disposition==

Rossdonaldson1: /* Disposition */

2025-05-21T20:21:36Z

Disposition

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	==Disposition==		==Disposition==
	*Discharge with precautions if no retinal pathology found; instruct to return immediately if new floaters, flashes, or curtain-like visual loss occurs
	*Urgent referral to ophthalmology if retinal tear, detachment, or vitreous hemorrhage suspected

	{{Presumed posterior vitreous detachment management}}		{{Presumed posterior vitreous detachment management}}

Rossdonaldson1 at 20:20, 21 May 2025

2025-05-21T20:20:05Z

← Revisión anterior		Revisión del 20:20 21 may 2025
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	* With retinal tear or detachment: Urgent referral to ophthalmology; treatment may involve laser photocoagulation, cryotherapy, or surgical repair		* With retinal tear or detachment: Urgent referral to ophthalmology; treatment may involve laser photocoagulation, cryotherapy, or surgical repair
	* Monitor: Regular follow-up with eye exams over subsequent weeks		* Monitor: Regular follow-up with eye exams over subsequent weeks

	~~{{Presumed posterior vitreous detachment management}}~~

	==Disposition==		==Disposition==
	*Discharge with precautions if no retinal pathology found; instruct to return immediately if new floaters, flashes, or curtain-like visual loss occurs		*Discharge with precautions if no retinal pathology found; instruct to return immediately if new floaters, flashes, or curtain-like visual loss occurs
	*Urgent referral to ophthalmology if retinal tear, detachment, or vitreous hemorrhage suspected		*Urgent referral to ophthalmology if retinal tear, detachment, or vitreous hemorrhage suspected

			{{Presumed posterior vitreous detachment management}}

	==See Also==		==See Also==

Rossdonaldson1 at 20:19, 21 May 2025

2025-05-21T20:19:34Z

@@ Línea 39: / Línea 39: @@
 ==Management==
 {{Presumed posterior vitreous detachment management}}
 ==See Also==
@@ Línea 50: / Línea 58: @@
 [[Category:Ophthalmology]]

Rossdonaldson1: /* Differential Diagnosis */

2025-05-21T20:16:20Z

Differential Diagnosis

← Revisión anterior		Revisión del 20:16 21 may 2025
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	==Differential Diagnosis==		==Differential Diagnosis==
	* [[Uveitis]]
	* [[Migraine headache\|Ocular migraine]]
	* Intraocular foreign body

	{{Acute onset flashers and floaters DDX}}		{{Acute onset flashers and floaters DDX}}

Rossdonaldson1: /* Differential Diagnosis */

2025-05-21T20:15:06Z

Differential Diagnosis

← Revisión anterior		Revisión del 20:15 21 may 2025
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	==Differential Diagnosis==		==Differential Diagnosis==
	* [[Retinal detachment]]
	* Retinal tear
	* [[Vitreous hemorrhage]]
	* [[Uveitis]]		* [[Uveitis]]
	* [[Migraine headache\|Ocular migraine]]		* [[Migraine headache\|Ocular migraine]]

Rossdonaldson1 at 20:12, 21 May 2025

2025-05-21T20:12:40Z

← Revisión anterior		Revisión del 20:12 21 may 2025
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	==Clinical Features==		==Clinical Features==
	* Sudden onset of floaters (black spots, cobwebs)		* Sudden onset of [[floaters]] (black spots, cobwebs)
	* Flashes of light (photopsia), especially in peripheral vision		* [[Flashes of light]] ([[photopsia]]), especially in peripheral vision
	* A curtain or shadow in the visual field (if associated with retinal tear/detachment)		* A curtain or shadow in the visual field (if associated with retinal tear/detachment)
	* Blurred vision or mild visual disturbances		* Blurred vision or mild visual disturbances
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	==Differential Diagnosis==		==Differential Diagnosis==
			* [[Retinal detachment]]
			* Retinal tear
			* [[Vitreous hemorrhage]]
			* [[Uveitis]]
			* [[Migraine headache\|Ocular migraine]]
			* Intraocular foreign body

	{{Acute onset flashers and floaters DDX}}		{{Acute onset flashers and floaters DDX}}

	==Evaluation==		==Evaluation==
	*~~May be asymptomatic~~		===Workup===
	*~~More frequently:~~		* Detailed history (onset, nature of floaters/flashes, visual changes)
	**~~[[Floaters]]~~		* Visual acuity testing
	**~~[[Flashes]]~~		* Pupillary examination (look for afferent pupillary defect)
			* Dilated fundoscopic exam (to assess for retinal tear or detachment)
			* Slit-lamp exam with vitreous evaluation
			* B-scan ocular ultrasound if fundus not visible due to hemorrhage or opacity <ref> American Academy of Ophthalmology. Posterior Vitreous Detachment. Accessed April 2025. https://www.aao.org </ref>

			===Diagnosis===
			* Clinical diagnosis based on symptoms and direct visualization of a detached posterior hyaloid membrane or Weiss ring on fundoscopic or slit-lamp exam
			* Confirm absence of retinal tear or detachment via dilated eye exam or imaging


	==Management==		==Management==
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	~~==Differential Diagnosis==~~
	* [[Retinal detachment]]
	* Retinal tear
	* [[Vitreous hemorrhage]]
	* [[Uveitis]]
	* [[Migraine headache\|Ocular migraine]]
	* Intraocular foreign body

	~~==Evaluation==~~
	~~===Workup===~~
	* Detailed history (onset, nature of floaters/flashes, visual changes)
	* Visual acuity testing
	* Pupillary examination (look for afferent pupillary defect)
	* Dilated fundoscopic exam (to assess for retinal tear or detachment)
	* Slit-lamp exam with vitreous evaluation
	* B-scan ocular ultrasound if fundus not visible due to hemorrhage or opacity <ref> American Academy of Ophthalmology. Posterior Vitreous Detachment. Accessed April 2025. https://www.aao.org </ref>

	~~===Diagnosis===~~
	* Clinical diagnosis based on symptoms and direct visualization of a detached posterior hyaloid membrane or Weiss ring on fundoscopic or slit-lamp exam
	* Confirm absence of retinal tear or detachment via dilated eye exam or imaging

	==Management==		==Management==