Abstract
Aims
To study the pattern of residual undetached cortical vitreous (RCV) after posterior vitreous detachment (PVD) in eyes with rhegmatogenous retinal detachment (RRD) and to examine the relationship between RCV and the development of epiretinal membrane (ERM).
Methods
A prospective study was conducted in 33 consecutive patients with clinically evident PVD who underwent pars plana vitrectomy for RRD. During vitrectomy, triamcinolone acetonide (0.2 cm3, 10 mg/cm3) was applied to stain the RCV. The pattern of the staining were recorded. The formation of postoperative ERM was correlated with the staining pattern of RCV. Each case was followed for at least 6 months.
Results
In all, 23 of the 33 patients had RCV of variable size, with a single stain patch observed in 13 patients and multiple patches in seven patients. Large circumferential areas of staining at the mid-periphery were noted in three patients. A total of 10 cases had staining over the fovea and five patients had staining over the disc. ERM developed in seven patients during follow-up. None corresponded to RCV.
Conclusion
RCV is common in eyes with PVD and RRD. The macula and disc area are the most frequent locations for these vitreous islands. The relationship between RCV and ERM remains to be investigated.
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References
Pischel DK . Detachment of the vitreous as seen with slit-lamp examination. Trans Am Ophthalmol Soc 1952; 50: 329–346.
Buzey SM, Weiter JJ, Furukawa H, Hirokawa H, Tolentino FI, Trempe CL et al. Examination of the vitreous: a comparison of biomicroscopy using the Goldmann and El Bayadi-Kajiura lenses. Ophthalmology 1985; 92: 1745–1748.
Fisher YL, Slakter JS, Friedman RA, Yannuzzi LA . Kinetic ultrasound evaluation of the posterior vitreoretinal interface. Ophthalmology 1991; 98: 1135–1138.
Ortiz RG, Lopez PF, Lambert HM, Sternberg Jr P, Aaberg TM . Examination of macular vitreoretinal interface disorders with monochromatic photography. Am J Ophthalmol 1992; 113(3): 243–247.
Sebag J, Ansari RR . Dynamic light scatteriing detection of posterior vitreous detachment. Proceeding of the SPIE Optical Engineering Society annual meeting, Ophthalmic Technologies, Vol. VIII, January 1998; San Jose, CA, 1998.
Sebag J, Dunker S, Suh KI, Ansari AA . Dynamic light scattering measurements in vitreous. Invest Ophthalmol Vis Sci 1997; 103: 24–28.
Sebag J . Seeing the invisible: the challenge of imaging vitreous. [Reviews]. J Biomed Optics 2004; 9(1): 38–46.
Peyman GA, Cheema R, Conway MD, Fang T . Triamcinolone acetonide as an aid to visualization of the vitreous and the posterior hyaloid during pars plana vitrectomy. Retina 2000; 20(5): 554–555.
Sonoda KH, Enaida H, Ueno A, Nakamura T, Kawano YI, Kubota T et al. Pars plana vitrectomy assisted by triamcinolone acetonide for refractory uveitis: a case series study. Br J Ophthalmol 2003; 87(8): 1010–1014.
Kishi S, Demaria C, Shimizu K . Vitreous remnants at the fovea after spontaneous vitreous detachment. Int Ophthalmol 1986; 9: 253–260.
Kishi S, Koichi S . Oval defect in detachemed posterior hyaloid membrane in idiopathic preretinal macular fibrosis. Am J Ophthalmol 1994; 118: 451–456.
Kishi S . Diagnostic pearls in the management of vitreomacular disorders. Semi Ophthalmol 1998; 13(1): 2–9.
Sonoda KH, Sakamoto T, Enaida H, Miyazaki M, Noda Y, Nakamura T et al. Residual vitreous cortex after surgical posterior vitreous separation visualized by intravitreous Triamcinolone acetonide. Ophthalmology 2004; 111: 226–230.
Kimura H, Kuroda S, Nagata M . Premacular cortical vitreous in patients with a rhegmatogenous retinal detachment. Retina 2004; 24(2): 329–330.
Hikichi T, Takahashi M, Trempe CL, Schepens CL . Relationship between premacular cortical vitreous defects and idiopathic premacular fibrosis. Retina 1995; 15: 413–416.
Wise GN . Relationship of idiopathic preretinal macualr fibrosis to posterior vitreous detachment. Am J Ophthalmol 1975; 79: 358–362.
Altaweel M, Ip M . Macular hole: improved understanding of pathogenesis, staging and management based on optical coherence tomography. [Review]. Semin Ophthalmol 2003; 18(2): 58–66.
Gass JDM . Idiopathic senile macular hole: its early stages and pathogenesis. Arch Ophthalmol 1988; 106: 629–639.
Murata T, Ueno A, Nakamura T et al. Triamcinolone assisted removal of posterior vitreous membrane as an adjuntive treatment for retinal detachment resulting from a macular hole in highly myopic eyes. Invest Ophth Vis Sci 2002; 43: 2493 [E-abstract].
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Chen, T., Yang, C. & Liu, K. Intravitreal triamcinolone staining observation of residual undetached cortical vitreous after posterior vitreous detachment. Eye 20, 423–427 (2006). https://doi.org/10.1038/sj.eye.6701892
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DOI: https://doi.org/10.1038/sj.eye.6701892
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