Postoperative questionnaires regarding functional performance and quality of life (QoL) issues were completed to assess subjective patient satisfaction. Six consecutive eyes of five men (ages 58-66 years) with pseudophakia or aphakia and SVO for more than 1 year who underwent PPV were retrospectively reviewed. The first major publication describing outcomes and PPV for SVO was a case series published over 20 years ago. Silva’s literature review, it was highlighted how data reported in the peer-reviewed literature have evolved over the years. D’Amico, MD Pars Plana Vitrectomy (PPV) for Symptomatic Vitreous Opacities (SVO): A Literature Review Trying to reach consensus on representative clinical scenarios to help optimize the management of patients with SVO.Discussing definitions of VO severity including the appropriate timing for referral to retina specialists and when vitrectomy may be considered.Reviewing new survey findings from across the national and international ophthalmic community on the understanding of SVO and their potential impact on patients.The objectives for this panel discussion included: 2 Still, it is unclear how patients with SVO presenting to optometrists, ophthalmologists, and cataract/refractive surgeons are being managed and how they are being referred to retina specialists who can assess if vitrectomy is an appropriate option. Although it was once taboo to consider vitrectomy to treat SVO, the evidence for treatment of this condition using small-gauge vitrectomy has strengthened. VO symptoms are minimal in most patients however, symptomatic vitreous opacities (SVO) can cause significant impairment in vision-related quality of life (QoL) in some patients. Any VO in the now-mobile vitreous gel cast shadows on the underlying retina and are seen as various sizes and shapes, which are easily mistaken for real objects. It then begins to move with the eye, head, or body movements, floating in the water-like fluid or aqueous that is constantly produced within the eye. As a normal part of aging, the vitreous gel “shrinks” and spontaneously separates from the retina. They can intermittently obstruct central vision or appear as objects moving in the peripheral visual field. They are found in the vitreous gel that fills the eye posteriorly between the lens and the retina. Vitreous opacities (VO) are perceived objects that appear in the field of vision of one or both eyes.
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