Management of vitreous floaters: a review.

IF 3 2区医学 Q1 OPHTHALMOLOGY Current Opinion in Ophthalmology Pub Date : 2024-09-01 Epub Date: 2024-07-11 DOI:10.1097/ICU.0000000000001075

Alexis Ivan Aleman, Lauren Kiryakoza, Jayanth Sridhar, Jesse Sengillo

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Abstract

Purpose of review: Vitreous floaters, characterized by the perception of spots or shadows in the visual field, commonly result from posterior vitreous detachment and can cause chronic symptoms in affected patients. The diagnosis of posterior vitreous detachment is typically determined clinically and can sometimes be confirmed with optical coherence topography (OCT) [1 ▪▪ ] . The objective of this review is to review management options for symptomatic vitreous floaters.

Recent findings: Symptoms of vitreous floaters may be mild or may significantly affect patient quality of life. Observation is the most common management strategy. Procedural management options include pars plana vitrectomy (PPV) and neodymium-doped yttrium aluminium garnet (Nd:YAG) vitreolysis. PPV is considered the most definitive management option for vitreous floaters. PPV, however, carries inherent risks, notably infection, cataract formation, and retinal detachment [2] . Nd:YAG laser vitreolysis is a less invasive alternative with studies demonstrating varied success [1 ▪▪ ,3,4] .

Summary: This review provides insights into the current state of knowledge regarding the management of vitreous floaters and can guide clinical decision-making.

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玻璃体漂浮物的处理：综述。

综述的目的：玻璃体漂浮物的特征是视野中出现斑点或阴影，常见于玻璃体后脱离，可导致患者出现慢性症状。玻璃体后脱离的诊断通常由临床确定，有时可通过光学相干地形图（OCT）确诊[1▪▪]。本综述旨在回顾无症状玻璃体漂浮物的治疗方案：玻璃体漂浮物的症状可能很轻微，也可能严重影响患者的生活质量。观察是最常见的治疗策略。手术治疗方案包括玻璃体旁切除术（PPV）和掺钕钇铝石榴石（Nd:YAG）玻璃体溶解术。PPV被认为是玻璃体漂浮物最彻底的治疗方案。然而，PPV 也存在固有的风险，尤其是感染、白内障形成和视网膜脱离[2]。Nd:YAG 激光玻璃体溶解术是一种创伤较小的替代方法，研究显示其成功率不尽相同[1▪▪,3,4]。摘要：本综述深入介绍了有关玻璃体漂浮物治疗的知识现状，可为临床决策提供指导。

本文章由计算机程序翻译，如有差异，请以英文原文为准。

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来源期刊

Current Opinion in Ophthalmology 医学-眼科学

CiteScore

6.80

自引率

5.40%

发文量

120

审稿时长

6-12 weeks

期刊介绍： Current Opinion in Ophthalmology is an indispensable resource featuring key up-to-date and important advances in the field from around the world. With renowned guest editors for each section, every bimonthly issue of Current Opinion in Ophthalmology delivers a fresh insight into topics such as glaucoma, refractive surgery and corneal and external disorders. With ten sections in total, the journal provides a convenient and thorough review of the field and will be of interest to researchers, clinicians and other healthcare professionals alike.

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