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Current treatment strategies for symptomatic vitreous opacities
- Source :
- Current Opinion in Ophthalmology. 32:198-202
- Publication Year :
- 2021
- Publisher :
- Ovid Technologies (Wolters Kluwer Health), 2021.
-
Abstract
- Purpose of review Symptomatic vitreous opacities are increasingly recognized as a significant burden to patient well-being. There is growing interest in the use of vitrectomy or laser treatment to address these problems. This review is intended to update current assessment, management, and risks of treatment for persistent severely symptomatic vitreous opacities. Recent findings Despite studies showing the value of quantitative ultrasound, reading speed measurements, and contrast sensitivity for assessing dysfunction caused by vitreous opacities, the decision of whether to proceed with surgery remains a very subjective, clinical one. Visual Function Questionnaire-25 score studies show a very large improvement postvitrectomy consistent with relief from symptoms and patient satisfaction. The risk of retinal tear and detachment appears to be higher than in most conditions treated with vitrectomy. Summary Vitrectomy for the management of severe vitreous opacities is increasingly accepted because of the tremendous relief of symptoms reported by patients. The risks of retinal tear and detachment remain a concern, particularly in patients who have an attached posterior hyaloid. Yttrium-aluminum-garnet laser treatment of floaters may offer benefit in a subset of patients but appears to be less definitive than vitrectomy, and also may carry significant risk.
- Subjects :
- medicine.medical_specialty
business.industry
Laser treatment
medicine.medical_treatment
Vitrectomy
General Medicine
eye diseases
Retinal Tear
Quantitative ultrasound
03 medical and health sciences
Ophthalmology
0302 clinical medicine
Patient satisfaction
030221 ophthalmology & optometry
Medicine
Treatment strategy
In patient
Significant risk
business
030217 neurology & neurosurgery
Subjects
Details
- ISSN :
- 15317021 and 10408738
- Volume :
- 32
- Database :
- OpenAIRE
- Journal :
- Current Opinion in Ophthalmology
- Accession number :
- edsair.doi...........7946b84dedf02f674b24cb092d221ea9
- Full Text :
- https://doi.org/10.1097/icu.0000000000000752