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Old 11-06-2010, 10:03 PM   #1
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Unhappy Recently Diagnosed With Posterior Vitreous Detachment

Hi,
I have been a sufferer of migraines since the mid-1980s. I had a couple of retinal tears in my left eye that have since repaired themselves on their own.

On Wednesday night within 24 hours of my recent migraine, I have a floater in my line of sight on my right eye. I went to urgent care and an eye doctor to get a prognosis. My doctor told me that I have posterior vitreous detachment. This is one of the symptons that my retina is detaching. She also says my left eye has its retina detaching too.

My floater that I have now will eventually go away. I'm getting used it but the first few days, I have had headaches.

Has anyone been diagnosed with this and can explain what to expect in the next few months. Thank you, in advance, for answering my question.

Thanks, Karen

 
Old 11-07-2010, 05:42 PM   #2
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Re: Recently Diagnosed With Posterior Vitreous Detachment

Hi, I am going through it also. I had surgery to prevent narrow angle glaucoma and two days later had a partial detachment. Lots of flashes and spots. It is now 5 weeks since it happened. I am still seeing spots and flashes at the side but that may be the result of having holes put into my iris. The dr told me last week it can take up to 6 months for the vision to clear. She said the detachment had healed in a week. She also told me the surgery was very routine, it wouldn't affect my vision at all and any complications were very rare.
I know one thing, I am being very careful not to bonk my head. I don't want to have to get into having gas bubbles and other stuff done and then having to lay still for weeks. Very scary isn't it?

 
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Old 11-07-2010, 05:51 PM   #3
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Re: Recently Diagnosed With Posterior Vitreous Detachment

Thank you for getting back with me. I get to see my doctor in 2 1/2 weeks from now to check the detachment.

 
Old 11-12-2010, 09:58 AM   #4
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Re: Recently Diagnosed With Posterior Vitreous Detachment

I was just diagnosed with PVD too. I began to notice little sliver shaped crescents of silver light flashing on the peripheral vision of my right eye. I just thought it was my glasses, but the next morning the flashes were replaced by floaters, and I called the opthamologist. I have my second appt next week.

 
Old 11-12-2010, 06:03 PM   #5
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Re: Recently Diagnosed With Posterior Vitreous Detachment

Oh please share what the doctor says. I don't have a lot of credibility in mine as she keeps changing her story. It does seem I am either getting used to the flashes or I am having less of them. What bothers me are the floaters, like circular brown spots that follow my eye motion.

 
Old 11-13-2010, 04:11 AM   #6
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Re: Recently Diagnosed With Posterior Vitreous Detachment

I hope you all know that PVD is a 'normal' process and is mostly a symptom of ageing. It sometimes occurs in younger people but mostly in the 60+ age group.
Unfortunately for some people (me), the process doesn't proceed to completion because the inner limiting membrane of the vitreous will not separate from the retina. If not treated rapidly, it can then go on to cause retinal detachment or a hole in the retina.
So, make sure to contact your ophthalmologist if you have a sudden deterioration in the vision of the affected eye. The flashes are simply the unsticking of the membrane.
In my case, I had some strange visual effects over about 3 months and then, suddenly one morning, three years ago this month, I could only see light with that eye. After two vitrectomy operations, 3 injections into the eye, YAG laser treatment and numerous hospital visits, that eye is still not much use.

 
Old 11-13-2010, 10:28 PM   #7
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Re: Recently Diagnosed With Posterior Vitreous Detachment

Top Geek, mine was caused by the iridotomy surgery the day before the detachment. I have a question regarding your statement if not treated rapidly, it can cause a complete detachment. What is the treatment?
When mine happened, I called the dr and described my symptoms. She blew me off saying I should only have flashes if I open my eyes wide. Well, days later I called her again and she said to come in the next day. That is when the detachment was discovered. SHe had me return a week later and said the detachment was healed. Said to return only before 6 months. if the flashes were in front of my eyes or the spots became hundreds. She did nothing. Is it possible the eye healed itself?
I can't believe all you went through. Reading some of the processes to try to fix it is absolutely frightening.

 
Old 11-14-2010, 02:51 AM   #8
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Re: Recently Diagnosed With Posterior Vitreous Detachment

The treatment I was referring to is the rare case in which the detachment is incomplete and requires surgical intervention. That is a sceral vitrectomy during which the attachment spot is severed to release the tension on the retina - not very nice to think about but it's done under general anaesthetic and heals very quickly. It's really a mini-laparotomy on the eye.
Iridotomy does have a high risk of provoking PVD. If the detachment is confined to the area of the iris then the internal pressure of the vitreous might be enough to re-seal it. It depends on age more than anything and would probably progress to complete detachment in anyone over the age of 45 - 50 because, by that sort of age, the vitreous is shrinking anyway.
So, it sounds as though you may have been lucky enough to have had it re-seal itself. If that is so, you should not have any more flashes; if you do then it suggests that the PVD is progressing. Nothing to worry about, other than being aware of the risk of incomplete detachment and the need to take rapid action if that happens.
In my case, the incomplete detachment happened early in the week of a national ophthalmology conference. No surgeon was available and I am sure that delay caused all the subsequent problems.

Last edited by TopGeek; 11-14-2010 at 02:53 AM. Reason: typos

 
Old 11-14-2010, 07:20 PM   #9
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Re: Recently Diagnosed With Posterior Vitreous Detachment

I am 58. Prior to the surgery I had no signs of any detachment. I had never even heard of this. I have flashes in the side of both my eyes but from what I understand from the dr, it is because of the holes in my iris. I only had the detachment in the one eye. She told me after 6 weeks I would be out of the danger zone.
A friend of mine just had partial detachment and her dr said the same things along the lines of what you are saying. She gets checked every few months to make sure everything is still ok.
My dr is supposed to call me tomorrow. I am going to ask her to tell me the truth as she said it was very low risk. Then when things went wrong, she said it was very rare, then she said 6 months to heal and the brown spots and flashes will go away.
That must have been terrifying for you to not have a dr available. I don't feel comfortable with the availability of this dr either. She works Monday to Friday as part of a HMO and is far away and none of the drs are available on the weekends.

 
Old 11-15-2010, 01:17 AM   #10
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Re: Recently Diagnosed With Posterior Vitreous Detachment

As you may have read in my earlier postings, I discovered that it is very easy to find eye doctors who claim to know all about the subject but very few of them have the skills and experience to really understand the unusual cases in depth. I had the misfortune to be operated on by a professor of ophthalmology with a background of many successful vitrectomies, who simply did not have the experience to deal with the complications my particular case. Rather than referring me to another surgeon, I was cast adrift - told there was nothing more that could be done. I did a lot of research and found a surgeon with a worldwide reputation in a university hospital only one hour away by car. He carried out a second vitrectomy and managed to restore a substantial amount of vision in that eye. If I had gone to him first, I feel sure that my eye would now be in much better condition.
If you have any doubts about your current eye doctor, it is always worth asking for a second opinion elsewhere.

 
Old 11-15-2010, 09:57 PM   #11
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Re: Recently Diagnosed With Posterior Vitreous Detachment

What is sad is she was my second opinion. I had gone to the first dr because my eye was hurting turned out due to dryness. I mentioned to her to make note my mom was diagnosed with glaucoma (my grandma was blind from glaucoma, which the dr knew) She checked my eyes again and then said I had narrow angles, it was something I was born with, don't wait too long for surgery, she would do one eye at a time. When I asked questions, she said go home look it up but she had other patients to see and had squeezed me in. Of course, I was wondering why she hadn't seen the angles any other time. I looked it up on the internet and was horrified by the side-effects. I was having a big surgery the next day so I had to wait for 6 weeks to go get the second opinion within my HMO. I picked a glaucoma specialist within the group and she also said I had the narrow angles. She said she would do the surgery right then. When I expressed concern about what I had read, she said it was so rare, she did 10 surgeries that day and it wouldn't affect anything, therefore no reason to not do both eyes at the same time. Well, as I have said, on other posts, not quite true. I am going to go back to the first dr to have her take a look. Even though she was insensitive after scaring me, she at least seemed more truthful. Next year, we will drop this insurance and then I will be able to go to other doctors. I am definitely having trust issues now.

 
Old 11-16-2010, 01:01 AM   #12
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Re: Recently Diagnosed With Posterior Vitreous Detachment

Quote:
Originally Posted by Mel52 View Post
I am definitely having trust issues now.
That's perfectly understandable. As I said earlier, good eye surgeons are a rare breed. I too was led to believe that my first surgeon had a 'mastered' the art of vitrectomy but she made a mess of mine and then abandonned me. Thank goodness I found the second one.
I wish you lots of luck. Just be persistent and I'm sure you'll have success in the end.

 
Old 11-16-2010, 05:34 PM   #13
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Re: Recently Diagnosed With Posterior Vitreous Detachment

Thank you TopGeek. I will be interested to see what the first dr says when she sees me in a few weeks. I hate the circular brown spots that follow my eyes when I move them. I also have an even worse problem now with dry eyes. I have sicca syndrome and use restasis and over the counter tears.
Sigh....

 
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