1. Posterior Vitreous Detachment 57 yo WM VA = 20/20 OU

2. Posterior Vitreous Detachment

3. 5/4/2015 “There’s a fly in the car!”

4. Posterior Vitreous Detachment 5/4/2015 “There's a fly in the car!”

5. Posterior Vitreous Detachment

6. Incidence of PVD roughly = age Yonmoto et al, Curr Opinion Ophth 1996 930 eyes

7. Posterior Vitreous Detachment Sebag: The Vitreous Age 6; 11 Age 56; 58

8. Posterior Vitreous Detachment Sebag: The Vitreous Age 88

9. Posterior Vitreous Detachment Weiss Ring Operculated Hole ILM Avulsion ILM Avulsion

10. PVD avulses the thin ILM along vessels

11. Posterior Vitreous Detachment Webb et al, Int Ophth clinics 2013 603 Smartphone users Floaters76% Sxs floaters33% More common in myopes, hyperopes No relation to age, race, gender

12. Posterior Vitreous Detachment Wagel et al: AJO, 2011 Patients with floaters are willing to trade off an average 1.1 years out of every 10 years of their remaining life to get rid of the symptoms associated with floaters. Furthermore, these patients are willing to take, on average, an 11% risk of death and a 7% risk of blindness to get rid of symptoms relating to floaters

13. Posterior Vitreous Detachment Vitrectomy for floaters Tan et al, AJO, 2011 166 casesPre-op 20/30 Post-op20/25 Breaks16% RD 3% Cat (phakic)50%

14. Posterior Vitreous Detachment Vitrectomy for floatersSebag, Retina 2014 76 patientsContrast sens 67% After PPV 0% Breaks, RD 0 Cat 23%

15. Posterior Vitreous Detachment