Wydanie 1/2015
str. 11

Zmiany w ciele szklistym związane z wiekiem – patogeneza, objawy i leczenie

Age-related Changes in the Vitreous Body – Pathogenesis, Symptoms and Treatment

Agnieszka Jamrozy-Witkowska, Urszula Łukasik, Katarzyna Skonieczna, Iwona Grabska-Liberek

Oddział Kliniczny Okulistyki Centrum Medycznego Kształcenia Podyplomowego w Warszawie
Kierownik: dr hab. n. med. Iwona Grabska-Liberek, prof. nadzw. CMKP


Summary: Vitreous floaters are common complaint for patients, who observe „floating” in their visual field. The etiology of floaters is age related and/or myopia-induce alteration of vitreous macromolecular organization that results in liquefaction of the gel, the aggregation of collagen into visible fiber and ultimately collapse of vitreous body resulting in posterior vitreous detachment. Risks factors of posterior vitreous detachment include age, female gender, higher levels of intake of vitamin B6, myopia, eye injury, aphakia, complicated cataract surgery, uveitis. Complications following posterior vitreous detachment include retinal tears, rhegmatogenous and tractional retinal detachment, macular holes and epiretinal membrane. In the presence of floaters and symptomatic posterior vitreous detachment the patient should be examined in the slit-lamp after mydriasis. When fundus view is obstacle, the US should be performed. The treatment modalities include eye drops, YAG laser vitreolysis and pars plana vitrectomy. Surgical treatment is invasive and brings the risk of complications. The conventional management of most vitreous floaters typically requires patients educations and reassurance.

Słowa kluczowe: zmętnienia ciała szklistego, tylne odłączenie ciała szklistego, witreoliza laserowa, witrektomia.

Keywords: vitreous floaters, posterior vitreous detachment, laser vitreolysis, vitrectomy.


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