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Letters RESEARCH LETTER persistent attachment of the PVC over the entire posterior pole including the fovea and optic disc (Figure 2A). Incom- Enhanced Vitreous Imaging Technique With plete PVD may begin with detachment of the PVC at perifo- Spectral-Domain Optical Coherence Tomography veal areas but persistent attachment over the fovea and per- for Evaluation of Posterior Vitreous Detachment sistent attachment at the optic disc (Figure 2B and C). With Vitreous degeneration, gradual separation of the posterior gradual release of the persistent attachment over the fovea, vitreous cortex (PVC), and eventual development of poste- there is progression of the PVD, although it is incomplete rior vitreous detachment (PVD) are important in vitreoreti- due to persistent attachment at the optic disc (Figure 2D and nal interface diseases. However, determination of the stages E). Disruption of the posterior wall of the premacular bursa of PVD with biomicroscopy or ultrasonography is not suffi- was well demonstrated with EVI-OCT (Figure 2F and G). 1,2 ciently sensitive and specific. Since the advent of spectral- The EVI-OCT displayed vitreous opacities and laminar domain (SD) optical coherence tomography (OCT), PVD structures of the posterior vitreous in the context of vitreos- detection has improved and new concepts regarding
JAMA Ophthalmology – American Medical Association
Published: Sep 1, 2014
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