Abstract
Vitreous plays an important role in ocular physiology and the maintenance of media transparency. Aging and various systemic diseases induce molecular and structural changes resulting in posterior vitreous detachment (PVD). Anomalous PVD occurs when gel liquefaction is not matched by vitreoretinal dehiscence. Consequences include retinal tears and detachment, vitreo-papillary traction, vitreo-macular traction, as well as macular holes and macular pucker involving vitreoschisis. Vitreo-macular adhesion exacerbates age-related macular degeneration and macular edema in diabetes and other retino-vascular disorders. Vitrectomy surgery, at times with vitreoretinal interface chromodissection, is performed to alleviate these conditions but will increasingly be replaced by pharmacologic vitreolysis to treat as well as prevent anomalous PVD.
Access this chapter
Tax calculation will be finalised at checkout
Purchases are for personal use only
References
Akiba J, Ueono N, Chakrabarti B (1993) Molecular mechanisms of posterior vitreous detachment. Graefes Arch Clin Exp Ophthalmol 231:408
Anderson DR (1970) Ultrastructure of the optic nerve head. Arch Ophthalmol 83:63
Ansari RR, Dunker S, Suh K, Kitaya N, Sebag J (2001) Quantitative molecular characterization of bovine vitreous and lens with non-invasive dynamic light scattering. Exp Eye Res 73:859–866
Balazs EA (1961) Molecular morphology of the vitreous body. In: Smelser GK (ed) The structure of the eye. Academic, New York/London, pp 293–310
Balazs EA (1984) Functional anatomy of the vitreus. In: Duane TD, Jaeger EA (eds) Biomedical foundations of ophthalmology. Harper & Row, Philadelphia, p 14
Balazs EA, Toth LZ, Eckl EA, Mitchell AP (1964) Studies on the structure of the vitreous body: XII. Cytological and histochemical studies on the cortical tissue layer. Exp Eye Res 3:57
Bettelheim FA, Balazs EA (1968) Light-scattering patterns of the vitreous humor. Biochim Biophys Acta 158:309
Bishop PN (2000) Structural macromolecules and supramolecular organisation of the vitreous gel. Prog Retin Eye Res 19:323–344
Bloom GD, Balazs EA, Ozanics V (1988) The fine structure of the hyaloid arteriole in bovine vitreous. Exp Eye Res 31:129
Busacca A, Goldmann H, Schiff-Wertheimer S (1957) Biomicroscopie du Corps Vitre et du Fond d’Oeil. Masson, Paris
Chu TG, Green RL, Cano MR et al (1996) Posterior vitreoschisis. An echographic finding in proliferative diabetic retinopathy. Ophthalmology 103:315–322
Cibis GE, Watzke RC, Chua J (1975) Retinal hemorrhages: posterior vitreous detachment. Am J Ophthalmol 79:358
Comper WD, Laurent TC (1978) Physiological functions of connective tissue polysaccharides. Physiol Rev 58:255–315
Deiter P, Wolf E, Geer S (1972) Glare and the scatter of light in the vitreous: effect in postoperative retinal detachment patients. Arch Ophthalmol 87:12
Foos RY (1972) Posterior vitreous detachment. Trans Am Acad Ophthalmol Otolaryngol 76:480
Foos RY, Gloor BP (1975) Vitreoretinal juncture: healing of experimental wounds. Graefes Arch Clin Exp Ophthalmol 196:213
Foos RY, Roth AM (1973) Surface structure of the optic nerve head: II. Vitreopapillary attachments and posterior vitreous detachment. Am J Ophthalmol 76:622
Foos RY, Wheeler NC (1982) Vitreoretinal juncture–synchisis senilis and posterior vitreous detachment. Ophthalmology 89:1502
Foulds WS (1987) Is your vitreous really necessary? The role of the vitreous in the eye with particular reference to retinal attachment, detachment and the mode of action of vitreous substitutes. (The 2nd Duke-Elder lecture). Eye 1:641–664
Gloor BP (1969) Cellular proliferation on the vitreous surface after photocoagulation. Graefes Arch Clin Exp Ophthalmol 178:99
Goff MM, Lu H, Ugarte M, Henry S, Takanosu R, Bishop PN (2012) The vitreous glycoprotein opticin inhibits preretinal neovascularization. Invest Ophthalmol Vis Sci 53(1):228–234
Goodnight R, Nagy AR, Ryan SJ (1988) Differential distribution of laminin in rabbit and monkey retinas. Invest Ophthalmol Vis Sci 29:203
Gupta P, Sadun AA, Sebag J (2008) Multifocal retinal contraction in macular pucker analyzed by combined optical coherence tomography/scanning laser ophthalmoscopy. Retina 28:447–452
Gupta P, Yee KMP, Garcia P, Rosen RB, Parikh J, Hageman GS, Sadun AA, Sebag J (2011) Vitreoschisis in macular diseases. Br J Ophthalmol 95(3):376–380
Hamming NA, Apple DJ, Geiser DK, Vygantas CM (1977) Ultrastructure of hyaloid vasculature in primates. Invest Ophthalmol Vis Sci 16:408
Hiryama K, Hata Y, Noda Y et al (2004) The involvement of the rho-kinase pathway and its regulation in cytokine-induced collagen gel contraction by hyalocytes. Invest Ophthalmol Vis Sci 45:3896–3903
Hyams SW, Neumann E, Friedman Z (1975) Myopia-aphakia: II. Vitreous and peripheral retina. Br J Ophthalmol 59:483
Jaffe NS (1967a) Vitreous traction at the posterior pole of the fundus due to alterations in the vitreous posterior. Trans Am Acad Ophthalmol Otolaryngol 71:642
Jaffe NS (1967b) Macular retinopathy after separation of vitreoretinal adherence. Arch Ophthalmol 78:585
Jaffe NS (1968) Complications of acute posterior vitreous detachment. Arch Ophthalmol 79:568
Johnson MW (2005) Perifoveal vitreous detachment and its macular complications. Trans Am Ophthalmol Soc 103:537–567
Kefalides NA (1978) The biology and chemistry of basement membranes. In: Kefalidese NA (ed) Proceedings of the first international symposium on the biology and chemistry of basement membranes. Academic, New York, pp 215–228
Kishi S, Demaria C, Shimizu K (1986) Vitreous cortex remnants at the fovea after spontaneous vitreous detachment. Int Ophthalmol Clin 9:253
Krebs I, Brannath W, Glittenberg K, Zeiler F, Sebag J, Binder S (2007) Posterior vitreo-macular adhesion: a potential risk factor for exudative age-related macular degeneration. Am J Ophthalmol 144:741–746
Larsen JS (1971) The hyaluronic acid in the rabbit vitreous: variations following hormonal treatment. Arch Ophthalmol 60:815
Larsson L, Osterlin S (1985) Posterior vitreous detachment: a combined clinical and physiochemical study. Graefes Arch Clin Exp Ophthalmol 223:92
Likar LH, Likar IN, Robinson RW (1965) Levels of acid mucopolysaccharides of the bovine aorta at different stages of the sexual cycle. J Atheroscler Res 5:388
Lindner K (1937) Zur Klinik des Glaskorpers: III. Glaskorper und Netzhautabhebung. Graefes Arch Clin Exp Ophthalmol 137:157
Lindner B (1966) Acute posterior vitreous detachment and its retinal complications. Acta Ophthalmol 87(suppl):1–108
Mayne R (2001) The eye. In: Royce PM, Steinmann BU (eds) Connective tissue and its heritable disorders. Wiley-Liss, New York, pp 131–141
Mayne R, Brewton RG, Ren Z-H (1997) Vitreous body and zonular apparatus. In: Harding JJ (ed) Biochemistry of the eye. Chapman and Hall, London, pp 135–143
Michels RG (1982) A clinical and histopathologic study of epiretinal membranes affecting the macula and removed by vitreous surgery. Trans Am Ophthalmol Soc 80:580
Murakami K et al (1983) Vitreous floaters. Ophthalmology 90:1271
Nguyen N, Sebag J (2005) Myopic vitreopathy – significance in anomalous PVD and vitreo-retinal disorders. In: Midena E (ed) Myopia and related diseases. Ophthalmic Communications Society, New York, pp 137–145
O’Malley P (1976) The pattern of vitreous syneresis: a study of 800 autopsy eyes. In: Irvine AR, O’Malley P (eds) Advances in vitreous surgery. Charles C Thomas, Springfield, pp 17–33
Oksala A (1978) Ultrasonic findings in the vitreous body at various ages. Graefes Arch Clin Exp Ophthalmol 207:275
Qiao H, Hisatomi T, Sonoda KH, Kura S, Sassa Y, Kinoshita S, Nakamura T, Sakamoto T, Ishibashi T (2005) The characterization of hyalocytes: the origin, phenotype, and turnover. Br J Ophthalmol 89:513–517
Ramesh S, Bonshek RE, Bishop PN (2004) Immunolocalisation of opticin in the human eye. Br J Ophthalmol 88:697–702
Robison C, Krebs I, Binder S, Barbazetto IA, Kostolis AI, Yannuzzi LA, Sadun AA, Sebag J (2009) Vitreo-macular adhesion in active and end-stage age-related macular degeneration. Am J Ophthalmol 148:79–82
Sakamoto T, Ishibashi T (2011) Hyalocytes: essential cells of the vitreous cavity in vitreo-retinal pathophysiology? Retina 31(2):222–228
Sarrafizadeh R, Hassan TS, Ruby AJ et al (2001) Incidence of retinal detachment and visual outcome in eyes presenting with posterior vitreous separation and dense fundus-obscuring vitreous hemorrhage. Ophthalmology 108(12):2273–2278
Schumann RG, Schaumberger MM, Rohleder M, Haritoglou C, Kampik A (2006) Ultrastructure of the vitreo-macular interface in full-thickness idiopathic macular holes – a consecutive analysis of 100 cases. Am J Ophthalmol 141:1112–1119
Scott JE, Chen Y, Brass A (1992) Secondary and tertiary structures involving chondroitin and chondroitin sulphate in solution, investigated by rotary shadowing electron microscopy and computer simulation. Eur J Biochem 209:675–680
Sebag J (1985) La structure fibreuse du corps vitré humain. Bull Mem Soc Fr Ophtalmol 96:395
Sebag J (1987a) Age-related changes in human vitreous structure. Graefes Arch Clin Exp Ophthalmol 225:89
Sebag J (1987b) Ageing of the vitreous. Eye 1:254
Sebag J (1989) The vitreous: structure, function and pathobiology. Springer, New York
Sebag J (1997) Guest editorial: classifying posterior vitreous detachment – a new way to look at the invisible. Br J Ophthalmol 81:521–522
Sebag J (1998a) Pharmacologic vitreolysis (guest editorial). Retina 18:1–3
Sebag J (1998b) Macromolecular structure of vitreous. Prog Polym Sci 23:415–446
Sebag J (1999) Vitreopapillary traction as a cause of elevated optic nerve head. Am J Ophthalmol 128:261
Sebag J (2002) Is pharmacologic vitreolysis brewing? (guest editorial). Retina 22:1–3
Sebag J (2004a) Seeing the invisible – the challenge of imaging vitreous. J Biomed Opt 9:38–46
Sebag J (2004b) Anomalous PVD – a unifying concept in vitreo-retinal diseases. Graefes Arch Clin Exp Ophthalmol 242:690–698
Sebag J (2005) Molecular biology of pharmacologic vitreolysis. Trans Am Ophthalmol Soc 103:473–494
Sebag J (2009) Vitreous – the resplendent enigma. Br J Ophthalmol 93:989–991
Sebag J (2011) Floaters and the quality of life. Am J Ophthalmol 152:3–4
Sebag J, Balazs EA (1985) Human vitreous fibres and vitreoretinal disease. Trans Ophthalmol Soc U K 104:123
Sebag J, Balazs EA (1989) Morphology and ultrastructure of human vitreous fibers. Invest Ophthalmol Vis Sci 30:1867
Sebag J, Yee KP (2005) Vitreous – from biochemistry to clinical relevance (Ch 16). In: Tasman W, Jaeger EA (eds) Duane’s Foundations of clinical ophthalmology, vol 1. Lippincott Williams & Wilkins, Philadelphia
Sebag J, de Bustros S, Wendell R (1994) Disorders of the vitreomacular interface. In: Margo CE, Hamed LM, Mames RN (eds) Diagnosis problems in clinical ophthalmology. WB Saunders, Philadelphia, pp 556–563
Sebag J, Ansari RR, Dunker S, Suh SI (1999) Dynamic light scattering of diabetic vitreopathy. Diabetes Technol Ther 1:169–176
Sebag J, Ansari RR, Suh KI (2007) Pharmacologic vitreolysis with microplasmin increases vitreous diffusion coefficients. Graefes Arch Clin Exp Ophthalmol 245(4):576–580
Sebag J, Wang M, Nguyen D, Sadun AA (2009) Vitreo-papillary adhesion in macular diseases. Trans Am Ophthalmol Soc 107:35–46
Seery CM, Davison PF (1991) Collagens of the bovine vitreous. Invest Ophthalmol Vis Sci 32:1540–1550
Sheehan JK, Atkins EDT, Nieduszynski IA (1975) X-Ray diffraction studies on the connective tissue polysaccharides. Two dimensional packing scheme for threefold hyaluronic chains. J Mol Biol 91:153–163
Sirek OV, Sirek A, Fikar K (1977) The effect of sex hormones on glycosaminoglycan content of canine aorta and coronary arteries. Atherosclerosis 17:227
Smiddy WE, Michels RG, Glaser BM et al (1988) Vitrectomy for macular traction caused by incomplete vitreous separation. Arch Ophthalmol 197:624
Smiddy WE, Maguire AM, Green WR et al (1989) Idiopathic epiretinal membranes: ultrastructural characteristics and clinicopathologic correlation. Ophthalmology 96:811
Smith TJ (1984) Dexamethasone regulation of glycosaminoglycan synthesis in cultured human skin fibroblasts: Similar effects of glucocorticoid and thyroid hormones. J Clin Invest 74:2157
Smith TJ, Murata Y, Horwitz AL et al (1982) Regulation of glycosaminoglycan synthesis by thyroid hormone in vitro. J Clin Invest 70:1066
Ueno N, Sebag J, Hirokawa H, Chakrabarti B (1987) Effects of visible-light irradiation on vitreous structure in the presence of a photosensitizer. Exp Eye Res 44:863–870
Uga A (1974) Some structural features of the retinal Muellerian cells in the juxtaoptic nerve region. Exp Eye Res 19:105
Wagle AM, Lim W-Y, Yap T-P, Neelam K, Au Eong K-G (2011) Utility values associated with vitreous floaters. Am J Ophthalmol 152(1):60–65
Wang MY, Nguyen D, Hindoyan N, Sadun AA, Sebag J (2009) Vitreo-papillary adhesion in macular hole and macular pucker. Retina 29:644–650
Wolf E, Gardiner JS (1965) Studies on the scatter of light in the dioptric media of the eye as a basis of visual glare. Arch Ophthalmol 74:338
Yamada E (1969) Some structural features of the fovea centralis in the human retina. Arch Ophthalmol 82:151
Zhu M, Penfold PL, Madigan MC, Billson FA (1997) Effect of human vitreous and hyalocytes-derived factors on vascular endothelial cell growth. Aust N Z J Ophthalmol 25(Suppl 1):S57–S60
Author information
Authors and Affiliations
Corresponding author
Editor information
Editors and Affiliations
Additional information
Compliance with Ethical Requirements
Dr. Sebag has received research grants, lecture honoraria, travel expenses, and consultant fees from ThromboGenics and ALCON. He holds a small number of shares in ThromboGenics.
No animal or human studies were carried out by the author for this chapter.
Rights and permissions
Copyright information
© 2014 Springer-Verlag Berlin Heidelberg
About this chapter
Cite this chapter
Sebag, J. (2014). Pathophysiology of the Aging Vitreous. In: Girach, A., de Smet, M. (eds) Diseases of the Vitreo-Macular Interface. Essentials in Ophthalmology. Springer, Berlin, Heidelberg. https://doi.org/10.1007/978-3-642-40034-6_4
Download citation
DOI: https://doi.org/10.1007/978-3-642-40034-6_4
Published:
Publisher Name: Springer, Berlin, Heidelberg
Print ISBN: 978-3-642-40033-9
Online ISBN: 978-3-642-40034-6
eBook Packages: MedicineMedicine (R0)