Patients with posterior vitreous detachment who seek care on the first day of their symptoms have a statistically significant higher risk for retinal tears.
Researchers retrospectively analyzed medical records of 365 patients with posterior vitreous detachment (PVD) symptoms at the Department of Ophthalmology at Sahlgrenska University Hospital, Sweden. Patients with retinal tears or vitreous hemorrhage were also included to analyze possible predictors for PVD complications, resulting in 426 patients in the study.
In patients with symptoms of PVD, 14.5% had retinal tears and 22.7% had vitreous and/or retinal hemorrhages. When PVD patients with retinal tears were compared with those without retinal tears, age, symptomatology and laterality did not have a significant impact regarding floaters and flashers.
Symptoms of visual impairment (P = .024), the presence of vitreous or retinal hemorrhage at examination (P < .001) and duration of symptoms for less than 24 hours (P = .004) were significant predictors of retinal tears.
“Special regard and prompt attention to patients who present with visual impairment and seek care within 24 hours of symptom onset should be given, whereas patients with only floaters and long duration of symptoms may be regarded as low-risk patients of retinal tears,” the researchers wrote. – by Robert Linnehan
Disclosures: The authors report no relevant financial disclosures.