Prevention of rhegmatogenous retinal detachment in patients with symptomatic acute posterior vitreous detachment

Authors

Keywords:

vitreous detachment, retinal perforations, immediate treatment, prevention

Abstract

Introduction: rhegmatogenous retinal detachment is an important cause of acute vision decline and visual impairment. Objective: to know the incidence of retinal ruptures associated with the course of symptomatic acute posterior vitreous detachment and the effectiveness of its immediate treatment as an essential conduct for the prevention of regmatogenous retinal detachment. Method: a descriptive, longitudinal and prospective study was conducted in patients diagnosed with symptomatic acute posterior vitreous detachment at the Retina Consultation of the Ophthalmological Center in the Arnaldo Milián Castro Hospital during the period from January 2017 to December 2018. Results: the symptomatic acute posterior vitreous detachment predominated in patients older than 60 years (63.6%) and in the female sex (54.6%). In the study, 93.9% of patients reported photopsies, in 54.3% of the eyes that were examined some type of associated retinal rupture was found; horseshoe tears with flaps were the most representative (88%). The presence of pigmented cells in the anterior vitreous was found in 64% of patients with retinal rupture in the course of symptomatic acute posterior vitreous detachment; the presence of vitreous hemorrhage was observed more in eyes with retinal vessel avulsion. The vast majority of retinal tears (17) were located in the superior temporal quadrant. Conclusions: the presence of retinal rupture should be suspected in the course of a symptomatic acute posterior vitreous detachment and its immediate treatment is highly effective in preventing regmatogenous retinal detachment.

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Author Biographies

Adonis Márquez Falcón, Policlínico Capitán Roberto Fleites

Especialista de I Grado en Medicina General Integral. Especialista de I Grado en Oftalmología. Profesor Instructor de la Universidad de Ciencias Médicas de Villa Clara.

Lidaisy Cabanes Goy, Policlínico Capitán Roberto Fleites

Especialista de I Grado en Medicina General Integral. Especialista de I Grado en Oftalmología. Profesora Instructora de la Universidad de Ciencias Médicas de Villa Clara.

Gelsy Castillo Bermúdez, Hospital Clínico Quirúrgico Universitario "Arnaldo Milián Castro"

Especialista de I Grado en Medicina General Integral. Especialista de I Grado en Oftalmología. Profesora Instructora de la Universidad de Ciencias Médicas de Villa Clara.

José Guillermo Martínez Urbay, Hospital Clínico Quirúrgico Universitario "Arnaldo Milián Castro"

Especialista de I Grado en Medicina General Integral. Especialista de I y II Grado en Oftalmología. Profesor Auxiliar de la Universidad de Ciencias Médicas de Villa Clara.

References

1. Wilkinson PC. Prevention of Retinal Detachment. In: Stephen Ryan, Andrew Schachat, Charles Wilkinson, David Hinton, Peter Wiedemann, et al. 5th ed. Los Ángeles: Saunders; 2013. p. 1793-1805 [citado 15 Abr 2018]. Disponible en: https://www.elsevier.com/books/retina/9781455707379

2. Lumi X, Hawlina M, Glavač D, Facskó A, Moe MC, Kaarniranta K, et al. Ageing of the vitreous: from acute onset floaters and flashes to retinal detachment. Ageing Research Reviews [Internet]. 2015 May [citado 15 Abr 2018];21:71-77. Disponible en: https://www.clinicalkey.es/#!/content/playContent/1-s2.0-S1568163715000343

3. Sociedad Española de Retina y Vítreo. Manual de Retina SERV. España: Elsevier, S.L.; 2013 [citado 15 Abr 2018]. Disponible en: https://www.iberlibro.com/Manual-retina-Sociedad-Espa%C3%B1ola-V%C3%ADtreo-Elsevier/22557395530/bd

4. Milston R, Madigan MC, Sebag J. Vitreous floaters: etiology, diagnostics, and management. Surv Ophthalmol [Internet]. 2016 Mar-Apr [citado 15 Abr 2018];61(2):211-227. Disponible en: https://www.clinicalkey.es/#!/content/playContent/1-s2.0-S003962571530014X

5. Hernández Marrero D, Solé González L, Abreu González R. Relación entre miodesopsias, fotopsias y el desprendimiento de vítreo posterior clínico y tomográfico. Arch Soc Canar Oftal [Internet]. 2014 [citado 15 Abr 2018];25:46-50. Disponible en: http://sociedadcanariadeoftalmologia.com/wp-content/revista/revista-25/25sco08.pdf

6. Arjmand P, Hurley B. Flashes and floaters: a survey of Canadian ophthalmology residents’ practice patterns. Can J of Ophthalmol [Internet]. 2017 Oct [citado 22 May 2018];52(5):453-457. Disponible en: https://www.clinicalkey.es/#!/content/journal/1-s2.0-S0008418216307013

7. Ehlers JP, Shah CP, Fenton GL. The Wills Eye Manual. Office and emergency room. Diagnosis and treatment of eye disease. 5 th ed. Lippincot, Williams & Wilkins; 2013.

8. Tanner V, Harle D, Tan J, Foote B, Williamson TH, Chignell AH. Acute posterior vitreous detachment: the predictive value of vitreous pigment and symptomatology. Br J Ophthalmol [Internet]. 2000 Nov [citado 22 May 2018];84(11):1264–1268. Disponible en: https://www.ncbi.nlm.nih.gov/pmc/articles/PMC1723305/pdf/v084p01264.pdf

9. American Academy of Ophthalmology. Posterior vitreous detachment, retinal breaks, and lattice degeneration PPP - 2014 [Internet]. San Francisco: American Academy of Ophthalmology; 2014 [citado 22 May 2018]. Disponible en: https://www.aao.org/preferred-practice-pattern/posterior-vitreous-detachment-retinal-breaks-latti-6

10. Chuo JY, Tracy Lee YY, Hussein H, Morris AH, Reyes Romina C, Rossister DJ, et al. Risk factors for posterior vitreous detachment: a case-control study. American J Ophthalmol [Internet]. 2006 Dec [citado 22 May 2018];142(6):931-37. Disponible en: https://www.sciencedirect.com/science/article/pii/S0002939406009135

11. Arosemena Giroldi LM, Ríos Calixto HA, Rodríguez Alvira FJ. Comportamiento del desprendimiento del vítreo posterior en pacientes expuestos a cirugía de catarata [tesis]. Bogotá: Universidad del Rosario; 2015 [citado 11 Jun 2018]. Disponible en: http://repository.urosario.edu.co/bitstream/handle/10336/11815/12.%20Tesis%20DVP-final.pdf?sequence=1

12. Shao L, Xu L, You QS, Wang YX, Chen CX, Yang H, et al. Prevalence and associations of incomplete posterior vitreous detachment in adult Chinese: the Beijing Eye Study. PLoS One [Internet]. 2013 [citado 11 Jun 2018];8(3):e58498. Disponible en: https://www.ncbi.nlm.nih.gov/pubmed/23544043

13. Schweitzer KD, Eneh AA, Hurst J, Bona MD, Rahim KJ, Abouammoh M, et al. Validation of patient symptom diary in acute posterior vitreous detachment. Saudi J Ophthalmol [Internet]. 2011 Apr-Jun [citado 11 Jun 2018];25(2):181–186. Disponible en: https://www.sciencedirect.com/science/article/pii/S1319453411000087

14. Richardson PS, Benson MT, Kirkby GR. The posterior vitreous detachment clinic: do new retinal breaks develop in the six weeks following an isolated symptomatic posterior vitreous detachment? Eye (Lond) [Internet]. 1999 Apr [citado 11 Jun 2018];13(Pt 2):237-240. Disponible en: https://www.ncbi.nlm.nih.gov/pubmed/10450389

15. Molina Cisneros C, Alemañy Rubio E, Triana Casado I, González Rodríguez L. Evaluación y conducta recomendada en presencia de precursores vítreos retinianos del desprendimiento de retina. Rev Cubana Oftalmol [Internet]. 2013 Sep-Dic [citado 11 Jun 2018];26(3):482-499. Disponible en: http://scielo.sld.cu/scielo.php?script=sci_arttext&pid=S0864-21762013000300013

16. Coffee RE, Westfall AC, Davis GH, Mieler WF, Holz ER. Symptomatic posterior vitreous detachment and the incidence of delayed retinal breaks: case series and meta-analysis. American J Ophthalmol [Internet]. 2007 Sep [citado 11 Jun 2018];144(3):409-413.e1. Disponible en: https://www.clinicalkey.es/#!/content/playContent/1-s2.0-S0002939407004345

17. Hollands H, Johnson D, Almeida D, Simel DL, Sharma S. Acute-onset floaters and flashes: is this patient at risk for retinal detachment? Jama [Internet]. 2009 Nov [citado 11 Jun 2018];302(20):2243-9. Disponible en: https://www.ncbi.nlm.nih.gov/pubmed/19934426

18. Kakehashi A, Takezawa M, Akiba J. Classification of posterior vitreous detachment. Clin Ophthalmol [Internet]. 2014 [citado 11 Jun 2018];8:1-10. Disponible en: https://www.ncbi.nlm.nih.gov/pmc/articles/PMC3864797/

19. Yannuzzi NA, Chang JS, Brown GC, Smiddy WE. Cost-utility of evaluation for posterior vitreous detachment and prophylaxis of retinal detachment. Ophthalmology [Internet]. 2018 Jan [citado 11 Jun 2018];125(1):43-50. Disponible en: https://www.clinicalkey.es/#!/content/journal/1-s2.0-S0161642017313969

20. Río Torres M, López Ramos M, Hernández Silva R, et al. Manual de diagnóstico y tratamiento en Oftalmología. 2da ed. La Habana: Ciencias Médicas; 2018. p. 491-501.

21. Khan AA, Gupta A, Bennett H. Risk stratifying retinal breaks. Canadian J Ophthalmol [Internet]. 2013 Dec [citado 11 Jun 2018];48(6):546-548. Disponible en: https://www.clinicalkey.es/#!/content/journal/1-s2.0-S0008418213002688

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Published

2019-09-30

How to Cite

1.
Márquez Falcón A, Cabanes Goy L, Castillo Bermúdez G, Martínez Urbay JG. Prevention of rhegmatogenous retinal detachment in patients with symptomatic acute posterior vitreous detachment. Acta Méd Centro [Internet]. 2019 Sep. 30 [cited 2025 Jul. 1];13(4):492-501. Available from: https://revactamedicacentro.sld.cu/index.php/amc/article/view/1060

Issue

Vol. 13 No. 4 (2019): October-December

Section

Original Articles

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