We performed this study to identify the biomicroscopic variations of posterior vitreous detachment(PVD)and to evaluate the clinical relationship of the vitreoretinal pathology and variations of PVD. Three hundred eyes with PVD were examined with biomicroscope using a 3CCD camera and a personal computer developed by us. The biomicroscopic variations were classifed as complete PVD with collapse, complete PVD without collapse, partial PVD with TPVC(thickened posterior vitreous cortex), or partial PVD without TPVC. In each type, the following pathologies were frequently observed :in complete PVD with collapse(150 eyes), age related changes without vitreoretinal diseases(72 eyes, 48%)and high myopia(41 eyes, 27.3%), in complete PVD without collapse(96 eyes), age related changes without vitreoretinal diseases(33 eyes, 34.3%), nonproliferative diabetic retinopathy(20 eyes, 20.8%), high myopia(15 eyes, 15.6%), branch retinal vein occlusion(14 eyes, 14.5%), in partial PVD with TPVC(36 eyes), proliferative diabetic retinopathy(18 eyes, 50%)and uveitis(10 eyes, 27.7%)and in partial PVD without TPVC(18 eyes), age related changes without vitreoretinal diseases(9 eyes, 50%). The type of PVD was significantly associated with the prevalence of each vitreoretinal disease(P<0.001). Biomicroscopic variations of PVD can be classified into four types, which was useful to evaluate the certain vitreoretinal disorders.
Microcomputers ; Pathology ; Prevalence ; Retinal Vein ; Vitreous Detachment*

PURPOSE: To observe the shape of posterior vitreous spaces using swept-source optical coherence tomography (SS-OCT) in normal eyes. METHODS: The posterior vitreous of 80 eyes of 80 volunteers without ocular disease was imaged. The DRI OCT-1 Atlantis (Topcon, Oakland, NJ, USA) was used to acquire scans of the posterior vitreous over an 18 × 18-mm2 area using the 12-mm horizontal line scan protocol. The size of the premacularis bursa was measured by the aliper function of the OCT. RESULTS: A boat-shape bursa was found in most cases. The prevalence of detected bursa fell with further increases in the extent of posterior vitreous detachment. The mean width of the bursa premacularis was 7,679.1 µm and the mean depth was 471.4 µm. CONCLUSIONS: Deep range imaging optical coherence tomography will provide improvement for in vivo anatomic characterization of the cortical vitreous, and allow better visualization of the dimensions of the bursa premacularis.
Prevalence ; Tomography, Optical Coherence* ; Vitreous Detachment ; Volunteers

PURPOSE: To observe the shape of posterior vitreous spaces using swept-source optical coherence tomography (SS-OCT) in normal eyes. METHODS: The posterior vitreous of 80 eyes of 80 volunteers without ocular disease was imaged. The DRI OCT-1 Atlantis (Topcon, Oakland, NJ, USA) was used to acquire scans of the posterior vitreous over an 18 × 18-mm2 area using the 12-mm horizontal line scan protocol. The size of the premacularis bursa was measured by the aliper function of the OCT. RESULTS: A boat-shape bursa was found in most cases. The prevalence of detected bursa fell with further increases in the extent of posterior vitreous detachment. The mean width of the bursa premacularis was 7,679.1 µm and the mean depth was 471.4 µm. CONCLUSIONS: Deep range imaging optical coherence tomography will provide improvement for in vivo anatomic characterization of the cortical vitreous, and allow better visualization of the dimensions of the bursa premacularis.
Prevalence ; Tomography, Optical Coherence* ; Vitreous Detachment ; Volunteers

Among the panents who visited Ewha Womens Universty Hospital from Dec 1988 to Oct 1989, the authors investigated the presence of posterior vitreous detachment(PVD) in 181 eyes Wlth nomal fundus flnd1ngs and 160 eyes wlth diabetic retinopathy. In normal eyes, the incidence of complete PVD increased with age but that of partlal PVD was not related to age. In non prolderative diabetic retinopathy, complete PVD was 15.6% and partial PVD was 5.6%, And in proliferative diabetic retinopathy, complete PVD was 8.6% and partial PVD was 41.4%. It is suggested that there is a close relationship between proliferative diabetic retinopathy and partial PVD.
Diabetic Retinopathy* ; Female ; Humans ; Incidence ; Vitreous Detachment*

It was not until 1919 that the treatment of retinal detachment began to plan on rationale line by Jule Gonin, Who was the first to appriciate the pathological significance of retinal break and therapeutic effect of closing these. Since after the first Gonin's suggestion, various surgical techniques for rhegmatogenous retinal detachment was reoprted in the literatures. Recently the authors had been experienced good surgical results of 45 eyes, beililg operated. The authors employed encircling procedurs and segmental buckling procedure with implants. The segmental buckling procedure was modified from the pocket technique, being employed in the case of simple posterior vitreous detachment. The encircling procedure followed the Crock and Galbraith technique modified from Schepens, being employed in the case of to tal posterior vitreous detachment with collapse. 36 eyes out of 45 eyes was much successful, and no postoperative complication was occurred.
Postoperative Complications ; Retinal Detachment* ; Retinal Perforations ; Retinaldehyde* ; Vitreous Detachment

PURPOSE: To determine the relation between the pathogenesis of idiopathic macular hole and perifoveal vitreous detachment using OCT scan. METHODS: On 28 eyes with idiopathic macular hole stage 1,2,3 which was graded according to using the classification described by Gass and on 123 eyes from the normal contrast group, OCT scan were performed to obtain axial views of the vitreoretinal interface in the posterior pole. The incidence of perifoveal vitreous detachment was assessed. RESULTS: 18 of the 28 eyes (64.2%) from the macular hole group and 15 of the 123 eyes (12.1%) from the normal contrast group had perifoveal vitreous detachment on OCT scan. The difference was statistically significant (p<0.05).There was no statistically significant difference on the incidence of perifoveal vitreous detachment according to stage of macular hole. CONCLUSIONS: These results led to the conclusion that there is a significant relation between the pathogenesis of macular hole and the papillofoveal traction.
Classification ; Incidence ; Retinal Perforations* ; Tomography, Optical Coherence ; Traction ; Vitreous Detachment*

Experimental retinal detachment was attempted in albino rabbits by the injection of hyaluronidase (2 TRU) between the retina and vitreous body. Retinal detachment was successfully induced in 12 eyes(62.5%) after 1-4 days. Hyaluronidase injection combined with mechanical injuries of the retina produced retinal detachment in 5 eyes(60.0%). When the retinal detachment was produced, amplitudes of the a- and b-waves decreased, maximum reduction being 41.6%(a-wave) and 34.5%(b-wave). Ten to 14 days after the treatment ERG waves began to increase gradually. ERG waves rose slightly in cases in which no detachment had been successfully produced.
Hyaluronoglucosaminidase ; Rabbits* ; Retina ; Retinal Detachment* ; Retinaldehyde* ; Vitreous Body

In previous report, the posterior vitreous detachment was found to be an important factor in progression of idiopathic macular cyst to macular hole. Our study provides the possibility of supporting role of the posterior vitreous detachment in formation and progression of traumatic macular cyst, and the vitrectomy was found to be a valuable procedure to prevent the progression of traumatic macular cyst, combined with posterior vitreous detachment. After posterior vitrectomy in 2 eyes of traumatic macular cyst with posterior vitreous detachment, traumatic macular cyst did not progress to macular hole, and visual acuity of 2 eyes was improved from finger count/30cm to 20/200 and 20/100 to 20/50(follow up period: 6-7 months).
Fingers ; Retinal Perforations ; Visual Acuity ; Vitrectomy* ; Vitreous Detachment

In previous report, the posterior vitreous detachment was found to be an important factor in progression of idiopathic macular cyst to macular hole. Our study provides the possibility of supporting role of the posterior vitreous detachment in formation and progression of traumatic macular cyst, and the vitrectomy was found to be a valuable procedure to prevent the progression of traumatic macular cyst, combined with posterior vitreous detachment. After posterior vitrectomy in 2 eyes of traumatic macular cyst with posterior vitreous detachment, traumatic macular cyst did not progress to macular hole, and visual acuity of 2 eyes was improved from finger count/30cm to 20/200 and 20/100 to 20/50(follow up period: 6-7 months).
Fingers ; Retinal Perforations ; Visual Acuity ; Vitrectomy* ; Vitreous Detachment

To investigate the relationship between peripheral retinal degeneration and axial length, we conducted a clinical study on 254 subjectives (508 eyes) whose age lie between 19-25 years and who had no other ocular disease nor any previous eye surgery. Axial length was measured with A-scan ultrasonography and retinal periphery was inspected by 360 degrees biomicroscopic examination with Goldmann three-mirror lens. The recorded degenerative peripheral retinal lesions were; lattice degeneration, pigmentary degeneration, cystoid degeneration, white without pressure, retinal hole or tears, retinal detachment, posterior vitreous detachment. The statistical analysis was done by using the chi-square test. The mean axial length was 24.01 +/- 1.08mm with a range of 21.8 to 27.9mm. The overall prevalence of the peripheral retinal degenerations increased as axial length did. Specially, that of pigmentary, cystoid, lattice degeneration was significantly related with long axial length individually for each lesion(p<0.01). However, there was a significantly greater percentage(53.37%) of all lesions in 23.0 - 24.9mm axial length group. These results suggest that the frequency of peripheral retinal degeneration increased with axial length but there was a posibility that the peripheral retinal degenerative lesions can be found in eyes of the mean and the shorter axial length.
Prevalence ; Retinal Degeneration* ; Retinal Perforations ; Retinaldehyde* ; Ultrasonography ; Vitreous Detachment