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Retinal unit
What is it

Posterior vitreous detachment

It is a physiological process related to the aging of the eye that occurs when the vitreous humor, which is the transparent gel that fills the eyeball, modifies its consistency so that some areas liquefy and others condense. Over time, the vitreous degrades naturally, causing the hyaloid, the membrane that surrounds it, to spontaneously separate from its attachment points on the retina.

Among the causes that can cause the appearance of a posterior vitreous detachment, in addition to advanced age (it is more common around the age of 60), are high myopia, trauma or ocular inflammatory processes.

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SYMPTOMS

TERCERA EDAD

The most frequent symptoms when the vitreous is detached are the sudden sight of a multitude of dark spots that the patient perceives in the form of a spider web or web and that move from one place to another accompanying the movement of the eyes.

There are patients who also describe the appearance of flashes of light (photopsias) on one side of the visual field, mainly at night or in low light conditions, as well as a certain visual decrease.

Unlike vitreous detachment, the patient who suffers from floaters (floaters) should know that the main symptom to identify them is the vision of small, floating, translucent spots, which have been manifesting for a long time without suffering any change in their form of presentation. As long as they are detected in time, they do not constitute an emergency.

However, if the patient notices a sudden increase in the size and number of floaters that may be accompanied by the appearance of flashes of light, it is advisable to go to the ophthalmologist for an assessment that rules out retinal detachment or similar lesions.

REVIEWS

Although vitreous detachment usually occurs without incident, it may exceptionally happen that, when the hyaloid separates from the retina, it causes a tear with light bleeding (vitreous hemorrhage), and even evolves to a retinal detachment.

Vitreous detachment usually does not require treatment. However, it is very important to carry out regular ophthalmological check-ups so that the specialist can detect possible cases of vitreous separation in time and check that the patient’s retina is not damaged, nor their vision, significantly affected. On the other hand, in those patients who have a history of having suffered retinal tears during vitreous detachment in one of their eyes, it is advisable to monitor the appearance of symptoms in the other, since the risk of this lesion reproducing is high.

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