A Conversation for Posterior Vitreous Detachment

Posterior vitrious detachment. PVD

Post 1


The information was most interesting as I have just been diagnosed with this condition. The possibility of a retinal tear or detachment is low, but requires urgent treatment if it should occur.

So who should I go to in such an emergency? The local NHS A & E dept, or a specialist private hospital?

Where is the centre of excellence for eye operations in the UK?

I am very much a supporter of the NHS but in this case all my savings would be available to pay for the very best treatment.

Any observations most welcome.

Posterior vitrious detachment. PVD

Post 2

Tag McEntegart

Thank you, BigAl,

Although, your post didn't deal explicitly with the question for which I was searching for an answer...i.e. can PVD ever improve without intervention through anything that the person themselves could do to lessen the symptoms?... I think I was able to deduce from your post that the answer to that is 'no'... It's just that things 'settle down' and the brain gets used to the phenomenon of the 'twitching lace-curtain and floater' effect ! My other question was whether anyone else to whom PVD has happened has experienced the sensation of having had one's own snuggly-fitting eyeball replaced with a poorly-fitting substitute ?? I'm not quite sure if it feels too big for the eye socket or too small...but just feels like it's someone else's eyeball that's been stuck into my eye socket, or like a cheap fake that doesn't fit properly. It's a really disconcerting sensation - makes the eye in question feel very different in my head from the other, still 'normal' one - and it's this horrible sensation that is much harder to make my peace with than the 'twitching lace-curtain and floater' effect. But the medics just looked at me blankly when I asked about it... so I got the impression that it wasn't something they'd ever been asked about before. Anyone else had this sensation?

All good wishes,

Posterior vitrious detachment. PVD

Post 3


I liked this post, I too at the tender age of 32 have recently been diagnosed with a PVD while a little upset I am impressed with the rather comprehensive nature of the article.
According to the Opthamolagist I seen at my local NHS eye casualty unit the symptoms should subside but at the moment my eye does feel a little uncomfortable and I can only hope that it improves.
I do have one question to ask though, if the vitreous humor shrinks and detaches what fills the space it leaves? I assume it is aqueous humor and I now wish I'd asked that when they told me what was happening.
Also do I need to take any extra care since this happened? I only ask as I happen to be a keen martial artist and hope I don't have to give up on training.

Thanks for posting

Posterior vitrious detachment. PVD

Post 4

BigAl Patron Saint of Left Handers Keeper of the Glowing Pickle and Monobrows

Good luck with that, Mike.

I don't know the answer to your Q. I assumed that a 'vacuum' was caused which probably causes the eyeball to become slightly even more mis-shapen, but I think your idea of aqueous humour seems more likely.

Certainly, after my operation my eyeball filled up with a very mobile fluid (aqeuous humour?). It was rather uncanny because the eyeball refills very gradually and, because of the optics of the eye, appeared to fill from the top downwards. If you move tilt your head you can see it sloshing around.

I used this as an indicator to warn me to keep my head still while my operation healed itself.


Posterior vitrious detachment. PVD

Post 5


Thanks for the reply, I guess I'll see if my gp knows anything being as I have a visit there next week.
Although I was wondering following all of operations described in the article (very well written and way more informative than most of the stuff I've read thus far by the way). Has your sight returned to normal? I only ask as I do seem to be scaring myself quite a bit about the whole PVD and potential for retinal damage etc.


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