Acute posterior vitreous detachment: the predictive value of vitreous pigment and symptomatology.

Acute posterior vitreous detachment: the predictive value of vitreous pigment and symptomatology. Research Abstract Details 

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Acute posterior vitreous detachment: the predictive value of vitreous pigment and symptomatology. Abstract Text:

AIM: To establish whether the presence of a retinal break can be predicted either by the presence of a positive Shafer's sign (pigment granules in the anterior vitreous) or symptomatology in patients presenting with an acute posterior vitreous detachment (PVD). METHODS: 200 eyes of 200 phakic patients with a symptomatic PVD of less than 1 month's duration underwent documentation of symptomatology and examination of the anterior vitreous for the presence of pigment granules. Indentation ophthalmoscopy was then carried out by an experienced vitreoretinal surgeon with no knowledge of the symptomatology or anterior vitreous gel examination findings. A second prospective group of 115 consecutive patients were assessed in a similar manner before primary rhegmatogenous retinal detachment repair. RESULTS: In 200 eyes presenting with an acute PVD, 25 were found to have an associated retinal break, 23 of which were also Shafer positive. In 115 eyes presenting for retinal detachment repair, 111 had an associated PVD and were found to be Shafer positive. Symptomatology was not predictive of an associated retinal break in the PVD group or in those presenting with a retinal detachment. CONCLUSION: The increased use of Shafer's sign is recommended as a valuable aid in determining which patients require urgent referral for an expert retinal examination. It is not possible to predict those patients with a retinal break secondary to PVD on the basis of symptomatology alone.

Acute posterior vitreous detachment: the predictive value of vitreous pigment and symptomatology. Publishing Authors By Initials

For similar eye diseases: vitreous detachment research abstracts see: eye diseases: vitreous detachment research

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Acute posterior vitreous detachment: the predictive value of vitreous pigment and symptomatology. Journal Published:

PUBLICATION TYPE: Journal Article

Journal: The British journal of ophthalmology

VOLUME: 84

Page Numbers: 1264-8

Journal Abbreviation: Br J Ophthalmol

ISSN: 0007-1161

DAY: 28

MONTH: Nov

YEAR: 2000

Acute posterior vitreous detachment: the predictive value of vitreous pigment and symptomatology. Information

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LANGUAGE: eng

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Acute posterior vitreous detachment: the predictive value of vitreous pigment and symptomatology. Keywords Mesh Terms:

KEYWORDS: Vitreous Detachment

MESH TERMS: complications

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Grant and Affiliation Information for Acute posterior vitreous detachment: the predictive value of vitreous pigment and symptomatology.

AFFILIATION: Vitreo-Retinal Unit, Department of Ophthalmology, St Thomas's Hospital, Lambeth Palace Road, London SE1 7EH, UK. TANNERONE@aol.com

Country: ENGLAND

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MEDLINETA: Br J Ophthalmol

REFSOURCE: Br J Ophthalmol. 2001 Apr;85(4):504

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