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Posterior vitreous detachment following panretinal laser photocoagulation

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Abstract

A total of 30 eyes of 19 patients with type I diabetes, varying severity of retinopathy, and no posterior vitreous detachment (PVD) were studied clinically, and vitreous examination was performed by preset lens biomicroscopy. Follow-up was 4.0–7.5 years. A total of 15 eyes underwent panretinal laser photocoagulation (PRP) and 15 eyes were left untreated. The incidence of PVD was 8 of 15 (53%) after PRP and 1 of 15 (7%) in untreated eyes (P<0.02). Minimal vitreous hemorrhage occurred in 4 of 7 treated eyes (57%) that did not develop PVD and in only 2 of 8 (25%) that did. In treated eyes with no history of vitreous hemorrhage, the incidence of PVD was 6/9 (67%); in treated eyes with minimal vitreous hemorrhage at any time, it was 2/6 (33%). In treated eyes, the presence of Diabetic Retinopathy Study (DRS) high-risk characteristics was equally frequent in eyes that developed PVD as in those that did not. These data suggest that PVD occurs following PRP, independent of the severity of diabetic retinopathy or prior vitreous hemorrhage.

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Authors and Affiliations

  1. Eye Research Institute of Retina Foundation, Harvard Medical School, Boston, Mass., USA

    Jerry Sebag, Sheldon M. Buzney, David A. Belyea, Masanori Kado, J. Wallace McMeel & Clement L. Trempe

  2. Retina Associates, Harvard Medical School, Boston, Mass., USA

    Sheldon M. Buzney, J. Wallace McMeel & Clement L. Trempe

  3. Department of Ophthalmology, Harvard Medical School, Boston, Mass., USA

    Jerry Sebag, Sheldon M. Buzney, J. Wallace McMeel & Clement L. Trempe

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  1. Jerry Sebag
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  2. Sheldon M. Buzney
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  3. David A. Belyea
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  4. Masanori Kado
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  5. J. Wallace McMeel
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  6. Clement L. Trempe
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Sebag, J., Buzney, S.M., Belyea, D.A. et al. Posterior vitreous detachment following panretinal laser photocoagulation. Graefe’s Arch Clin Exp Ophthalmol 228, 5–8 (1990). https://doi.org/10.1007/BF02764282

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  • DOI: https://doi.org/10.1007/BF02764282

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