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Clinical findings in acute posterior vitreous detachment

  • Retinal Disorders
  • Published:
Graefe's Archive for Clinical and Experimental Ophthalmology Aims and scope Submit manuscript

Abstract

Purpose

To analyze the typical presentation of acute posterior vitreous detachment (PVD), including demographics and prevalence of various treatable findings in the same and fellow eye.

Methods

Retrospective analysis of medical records from 2346 patients with acute PVD. Descriptive statistics were generated on age, sex, contact date, visual acuity, and slit lamp, and fundoscopy findings. Multivariate regressions were used to generate odds ratios with 95% confidence intervals (CI) to quantify associations between variables.

Results

A total of 4692 eyes from 2346 patients were analyzed. Most patients were female (60.5%) with an average age of 62.8 years old. Overall, 605 patients (25.8%) had any additional ocular finding on fundus exam, including pigmentation (N = 184, 7.8%), lattice degeneration (N = 158, 6.7%), tear (N = 131, 5.6%), and hole (N = 131, 5.2%). Unilateral retinal detachment was present in 26 patients (1.1%), and these patients demonstrated a similar rate (26.9%) of additional ocular findings compared to the entire sample size. Female sex (OR 1.21, 95% CI 1.03–1.43, p = 0.020) was independently associated with presentation during spring or summer.

Conclusion

Acute PVD is associated with a number of risk factors and peripheral lesions. These findings may be useful in treating and predicting the course and development of PVD.

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Data availability

Data are available upon request.

Code availability

Not applicable.

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Authors and Affiliations

  1. Department of Ophthalmology, University of Pittsburgh School of Medicine, Pittsburgh, PA, USA

    Matthew Driban & Jay Chhablani

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  1. Matthew Driban
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  2. Jay Chhablani
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Contributions

Conceptualization and data acquisition were done by Jay Chhablani. Data analysis and original draft preparation were performed by Matthew Driban. All the authors contributed to review and editing. All the authors read and approved the final manuscript.

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Correspondence to Jay Chhablani.

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This retrospective research study was reviewed by the IRB of the University of Pittsburgh and determined to meet regulatory requirements for exempt research.

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The authors declare no competing interests.

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Driban, M., Chhablani, J. Clinical findings in acute posterior vitreous detachment. Graefes Arch Clin Exp Ophthalmol 260, 3465–3469 (2022). https://doi.org/10.1007/s00417-022-05708-4

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  • DOI: https://doi.org/10.1007/s00417-022-05708-4

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