Vitreous

Endophthalmitis SYMPTOMS Sudden loss of vision, Blurry vision, Photophobia, Eyelid tenderness, Eyelid swelling, Eye pain, Eye redness SIGNS Swollen eyelid, Conjunctival injection, Corneal edema, Iritis, Hypopyon, Vitritis, Hazy retinal views, Retinal periphlebitis (may be earliest sign of a endophthalmitis) WORK-UP Slit lamp examination, Dilated retinal exam, B-scan ultrasound (if unable to view the retina) TREATMENT…

Asteroid Hyalosis SYMPTOMS Typically asymptomatic SIGNS Multiple yellowish deposits floating in the vitreous WORK-UP Slit lamp examination, Dilated retinal exam, B-scan ultrasound (if unable to view the retina if the asteroid hyalosis is too dense) TREATMENT Monitor. No treatment needed FOLLOW-UP Patient should be seen back in 1 year for a full dilated eye exam…

Vitreous Hemorrhage SYMPTOMS Sudden loss of vision, Blurry vision, Floaters, Flashes SIGNS Hazy retinal views, Obscuration of underlying retina, Blood in the vitreous Preretinal: Blood found between the ILM and NFL. Has a “keel-boat” shaped appearance if found along the inferior retina and a more linear shaped appearance if found along the superior retina Subhyaloid:…

Posterior Vitreous Detachment (PVD) SYMPTOMS Floaters (typically a large floater in the central vision or off to the side), Flashes SIGNS Vitreous synchysis, Vitreous syneresis, Weiss ring (should be floating near the vicinity of the optic nerve) WORK-UP Slit lamp examination of the vitreous, Dilated retinal exam, Scleral depression (especially if suspecting a retinal hole,…