{"id":163,"date":"2020-04-14T10:50:04","date_gmt":"2020-04-14T10:50:04","guid":{"rendered":"https:\/\/ophthalmo-iasis.gr\/?page_id=163"},"modified":"2026-04-06T17:13:51","modified_gmt":"2026-04-06T17:13:51","slug":"%ce%bf%cf%80%ce%af%cf%83%ce%b8%ce%b9%ce%b1-%ce%b1%cf%80%ce%bf%ce%ba%cf%8c%ce%bb%ce%bb%ce%b7%cf%83%ce%b7-%cf%85%ce%b1%ce%bb%ce%bf%ce%b5%ce%b9%ce%b4%ce%bf%cf%8d%cf%82","status":"publish","type":"page","link":"https:\/\/ophthalmo-iasis.gr\/en\/%ce%bf%cf%80%ce%af%cf%83%ce%b8%ce%b9%ce%b1-%ce%b1%cf%80%ce%bf%ce%ba%cf%8c%ce%bb%ce%bb%ce%b7%cf%83%ce%b7-%cf%85%ce%b1%ce%bb%ce%bf%ce%b5%ce%b9%ce%b4%ce%bf%cf%8d%cf%82\/","title":{"rendered":"Posterior vitreous detachment"},"content":{"rendered":"<div class=\"et_pb_section_0 et_pb_section et_section_regular et_block_section\"><div class=\"et_pb_row_0 et_pb_row et_pb_row_3-4_1-4 et_block_row et_block_row_3-4_1-4\"><div class=\"et_pb_column_0 et_pb_column et_pb_column_3_4 et_block_column et_pb_css_mix_blend_mode_passthrough\"><div class=\"et_pb_image_0 et_pb_image et_pb_module et_block_module\"><span class=\"et_pb_image_wrap\"><img loading=\"lazy\" decoding=\"async\" src=\"https:\/\/ophthalmo-iasis.gr\/wp-content\/uploads\/2022\/02\/logo-high-res-300.jpg\" width=\"900\" height=\"140\" srcset=\"https:\/\/ophthalmo-iasis.gr\/wp-content\/uploads\/2022\/02\/logo-high-res-300.jpg 900w, https:\/\/ophthalmo-iasis.gr\/wp-content\/uploads\/2022\/02\/logo-high-res-300-480x75.jpg 480w\" sizes=\"(min-width: 0px) and (max-width: 480px) 480px, (min-width: 481px) 900px, 100vw\" class=\"wp-image-720\" title=\"logo high res 300\" \/><\/span><\/div><div class=\"et_pb_text_0 et_pb_text et_pb_bg_layout_light et_pb_module et_block_module\"><div class=\"et_pb_text_inner\"><h1><b>Posterior vitreous detachment<\/b><\/h1>\n<\/div><\/div><div class=\"et_pb_text_1 et_pb_text et_pb_bg_layout_light et_pb_module et_block_module\"><div class=\"et_pb_text_inner\"><p style=\"text-align: justify;\"><span style=\"font-weight: 400;\">Posterior vitreous detachment is a physical change that occurs when the gel that fills the eye separates from the retina.<\/span><\/p>\n<p style=\"text-align: justify;\"><b>Symptoms<\/b><\/p>\n<ul style=\"text-align: justify;\">\n<li style=\"font-weight: 400;\"><span style=\"font-weight: 400;\">Floaters (moving blurry shadows that obstruct vision)<\/span><\/li>\n<li style=\"font-weight: 400;\"><span style=\"font-weight: 400;\">Flashes (like fireworks, usually in peripheral vision)<\/span><\/li>\n<\/ul>\n<p style=\"text-align: justify;\"><span style=\"font-weight: 400;\">These symptoms usually become less severe after several weeks. Most patients develop posterior vitreous detachment after the age of 60, once in each eye, and the condition is usually not eye-threatening, but occasionally affects vision more permanently in the event of complications, such as retinal detachment or epiretinal membrane.<\/span><\/p>\n<p style=\"text-align: justify;\"><span style=\"font-weight: 400;\">Mild myopia in vision is normal, but a sudden increase is often the first symptom of posterior vitreous detachment.<\/span><\/p>\n<p style=\"text-align: justify;\">\n<p style=\"text-align: justify;\"><span style=\"font-weight: 400;\">During posterior vitreous detachment, myopia is often accompanied by flashes, which are more noticeable in dark environments. Most patients experience myopia and flashes during the first few weeks of a posterior vitreous detachment, but in some cases the symptoms are barely noticeable. If the posterior vitreous detachment is complicated by vitreous hemorrhage, retinal detachment, epichoroidal membrane, or macular hole, the flashes and myopia may be accompanied by reduced or distorted vision. Myopia is most bothersome when located near the center of vision and less bothersome when located in peripheral vision. They can look like spiders, dust, or a swarm of insects \u2013 or in the shape of a circle or oval, called a Weiss ring.<\/span><\/p>\n<p style=\"text-align: justify;\">\n<p style=\"text-align: justify;\"><b>Causes<\/b><\/p>\n<p style=\"text-align: justify;\"><span style=\"font-weight: 400;\">Over time, the gel that fills the eye liquefies and condenses (shrinks) due to age and related wear and tear. Eventually, it cannot fill the entire volume of the vitreous cavity of the eye (which remains the same size throughout adulthood), and so the gel separates from the retina at the back of the eye cavity.<\/span><\/p>\n<p style=\"text-align: justify;\"><span style=\"font-weight: 400;\">Over the next 1 to 3 months, the vitreous thickens and the sides of the gel also separate from the retina until the posterior vitreous detachment is complete.<\/span><\/p>\n<p style=\"text-align: justify;\">\n<p style=\"text-align: justify;\"><span style=\"font-weight: 400;\">If the posterior vitreous detachment progresses gently, gradually, and evenly, symptoms are usually mild. However, if the separation forces are strong or concentrated in a specific part of the retina, or if there is an abnormal adhesion between the vitreous and the retina, the posterior vitreous detachment can cause a tear in the retina or a hemorrhage in a retinal blood vessel.<\/span><\/p>\n<p style=\"text-align: justify;\">\n<p style=\"text-align: justify;\"><b>Risk factors<\/b><\/p>\n<p style=\"text-align: justify;\"><span style=\"font-weight: 400;\">Posterior vitreous detachment is rare in people under 40 years of age and more common in older age.<\/span><\/p>\n<p style=\"text-align: justify;\">\n<p style=\"text-align: justify;\"><span style=\"font-weight: 400;\">Additional risk factors for posterior vitreous detachment include myopia, trauma, and recent eye surgery, such as cataract surgery. Patients who experience posterior vitreous detachment in one eye will often experience posterior vitreous detachment in the other eye within 1 year.<\/span><\/p>\n<p style=\"text-align: justify;\">\n<p style=\"text-align: justify;\"><b>Diagnosis<\/b><\/p>\n<p style=\"text-align: justify;\"><span style=\"font-weight: 400;\">Posterior vitreous detachment is usually diagnosed with fundoscopy. However, additional tests, such as optical coherence tomography (OCT) or ocular ultrasound, may be needed.\u00a0<\/span><\/p>\n<p style=\"text-align: justify;\">\n<p style=\"text-align: justify;\"><b>Treatment and outcome<\/b><\/p>\n<p style=\"text-align: justify;\"><span style=\"font-weight: 400;\">Posterior vitreous detachment usually has a good prognosis and symptoms resolve in the vast majority of patients. Most patients no longer experience flashes after 3 months and myopia tends to improve. No specific treatment is required for posterior vitreous detachment. Complications of posterior vitreous detachment are rare but can be serious and require emergency treatment, such as laser for retinal tears or surgery for retinal detachment. For this reason, one or more check-ups within 3 months of the onset of posterior vitreous detachment are recommended. In rare cases, floaters from posterior vitreous detachment persists and vitrectomy surgery may be required.<\/span><\/p>\n<\/div><\/div><\/div><div class=\"et_pb_column_1 et_pb_column et_pb_column_1_4 et-last-child et_block_column et_pb_css_mix_blend_mode_passthrough\"><div class=\"et_pb_image_1 et_pb_image et_animated et_pb_module et_block_module\"><span class=\"et_pb_image_wrap\"><img loading=\"lazy\" decoding=\"async\" src=\"https:\/\/ophthalmo-iasis.gr\/wp-content\/uploads\/2020\/04\/eye-doctor-05.jpg\" width=\"500\" height=\"611\" srcset=\"https:\/\/ophthalmo-iasis.gr\/wp-content\/uploads\/2020\/04\/eye-doctor-05.jpg 500w, https:\/\/ophthalmo-iasis.gr\/wp-content\/uploads\/2020\/04\/eye-doctor-05-480x587.jpg 480w\" sizes=\"(min-width: 0px) and (max-width: 480px) 480px, (min-width: 481px) 500px, 100vw\" class=\"wp-image-58\" \/><\/span><\/div><\/div><\/div><div class=\"et_pb_row_1 et_pb_row et_block_row\"><div class=\"et_pb_column_2 et_pb_column et_pb_column_4_4 et-last-child 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