PVD means posterior vitreous detachment. It may or may not be serious. I know about it only because I had a major one last winter. I have after images, trails, and all the things you've described, including lightning flashes, and sharp points of light that look like tiny fireworks going off. If you do a goole search and type in posterior vitreous detachment you'll find many web sites that explain.
Did your eye doctor tell you that you need to watch for retinal tearing? The web sites mention it, and my doctor actually told me to not lift anything and to be extremely careful about what I do. This was early last winter, actually in the fall of 2002. I was "freaked out" about it, walked around on tiptoe and did next to nothing for quite some time. It's been many months now, and the doctor keeps tabs on my eyes, but nothing has gotten worse, so I've decided to get back to normal life again.
There are two things that bother me most. One is the swinging light in the side. It's like one of those guys that used to stand on the railroad tracks and swing his lantern back and forth, up and down, in an arc. That guy is swinging his lantern inside my head now! The other is what I call the spinach soup. It's like my eye is a pot of soup, and there's a giant blob of spinach swishing up and down on top of the soup. It drives me NUTS. The spinach is a blood clot, so says the doctor.
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