Knowledge about “retrovitreous detachment”, “vitreous opacity”, “miosis”, etc.

Patient Question: Disease:Vitreous turbidityDescription:I found blurred vision in one eye by chance. 3 days later I saw a doctor and started taking medicine until now Hope to provide help:How long does it take to cure this disease and is the medicine being taken right. Hospital Department: Wuzhi Fuming Ophthalmology Ophthalmology Zhengzhou University First Affiliated Hospital Eye Center Li Qiuming Medication: Name of the drug: Voltaren. Amiodarone eye drops Directions for use:3 times a day. 1 tablet at a time. Take for 8 days. I am sick to my stomach after taking the medication. Reply: According to your diagnosis of “vitreous opacity” and medication in other hospitals, I would like to introduce you to the knowledge of vitreous and vitreous opacity for your reference and other similar patients.   The human eye is a sphere-like organ, in the middle of the eye there is a cavity of about 4.5 ml, called the vitreous cavity, in the vitreous cavity is filled with a transparent gel, called the vitreous. When the vitreous body is normal, light can enter the eye unobstructed and we can see the world clearly (in the absence of other eye diseases). However, the vitreous humor changes as people age, meaning that as people age, some or all of the vitreous humor liquefies, i.e., it changes from a completely gelatinous state at birth to part water and part gel. (To use a common analogy, it is like a bowl of cold powder that is put in a bad state, and becomes partly thin water and partly crumbs; more like a watermelon that is put in a bad state in summer, and the melon seeds float around in it randomly when shaken.) When the vitreous liquefies to a certain extent, the liquid can enter the posterior part of the vitreous (posterior chamber) and separate the vitreous from the retina, forming what is known in ophthalmology as “posterior vitreous detachment” (abbreviated as “PVD”, please note). “When a “posterior vitreous detachment” occurs, the annular ring around the vitreous body and optic disc can be pulled apart and enter the retina. When “posterior vitreous detachment” occurs, the fibrous ring around the original vitreous and the optic disc can be pulled apart and enter the center of the vitreous (called Weiss ring), blocking the light entering the eye, the patient will see such as “ring”, “dot”, “mosquito-like “, “fly-like” and so on described as a variety of dark shadows floating (usually also known as “flying mosquitoes”. The reason why posterior detachment of the vitreous body will only produce black shadow fluttering, just like a picture on the wall does not produce a projection on the wall, but remove it to a certain distance from the wall, and then use a lamp to shine will produce a projection). If the retina is pulled during posterior vitreous detachment, retinal fissures will appear, and in severe cases, retinal detachment will occur; if the retinal blood vessels are pulled, vitreous hemorrhage or retinal hemorrhage will occur.    If the retinal blood vessels are pulled, blood accumulation in the vitreous or retinal hemorrhage may occur.    The traditional method for simple posterior vitreous detachment is usually to suggest observation. Most patients will no longer have a black shadow in front of the eyes after the complete posterior vitreous detachment, when the occlusion falls to the periphery and gradually absorbs, the length of this time varies from person to person and cannot be estimated. Can only tell the patient simply a dotted black shadow floating can be observed first, generally does not cause serious consequences, (generally do not have to medication, some doctors will give the patient some drugs to promote absorption, but generally will not produce a therapeutic effect, such as there are stomach problems do not have to eat, so as not to stomach disease heavy).    Newly introduced a YAG laser, the more obvious post-detachment clouding (Weis ring) in the vitreous body can be broken up with the laser to help absorption.    If the patient seriously can not tolerate the black spot, laser treatment effect is not obvious, can also do vitrectomy to remove the black spot, but need to weigh the advantages and disadvantages of surgery.    During the observation period, if the black shadow becomes larger or the vision loss worsens, the patient should be reviewed in time to detect retinal detachment and bleeding. The small amount of vitreous hemorrhage that occurs during posterior vitreous detachment can be observed and treated medically (oral agents such as Volitin can be taken to promote absorption); severe vitreous hemorrhage can be treated by vitrectomy. For retinal fissures without retinal detachment, laser treatment is feasible; for retinal detachment, surgical treatment is required.