Can vitreous detachment be caused by cataract surgery?

Purpose of the review: Cataract surgery induces considerable vitreous modifications that can lead to posterior vitreous detachment. Studies indicate that these changes, whether combined or not with peripheral retinal degenerations such as lattice areas, carry risk for subsequent retinal breaks or detachment.

Is vitreous detachment common after cataract surgery?

Posterior vitreous detachment after modern cataract surgery with small-incision phacoemulsification and posterior IOL implantation is common, although the consequences may not be immediately apparent, according to a study.

What is the most common complication of cataract surgery?

A long-term consequence of cataract surgery is posterior capsular opacification (PCO). PCO is the most common complication of cataract surgery. PCO can begin to form at any point following cataract surgery.

What is the risk of retinal detachment after cataract surgery?

Although relatively rare, retinal detachment is a very real risk of cataract surgery, occurring in roughly 1 percent of post-operative cataract surgery patients. Retinal detachment does not necessarily occur immediately after surgery; it can happen at any point in the patient’s lifetime after cataract surgery.

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What causes the vitreous to detach?

In normal eyes, the vitreous is attached to the surface of the retina through millions of tiny, intertwined fibers. As we age, the vitreous slowly shrinks, and these fibers pull on the retina’s surface. If the fibers break, the vitreous can shrink further and separate from the retina, causing a vitreous detachment.

What is the difference between retinal detachment and vitreous detachment?

The main difference between a vitreous detachment and retinal detachment is the damage done to the retina. On its own, PVD does not harm vision. As long as the fibers are merely pulling on the retina, the quality of your eyesight should not be affected.

How long does it take for floaters to go away after cataract surgery?

Typically, floaters are a sensation of gray or dark spots moving in the visual field and may persist for months or years 35. Unlike the typical symptoms of floaters, some patients complain of tiny floaters that show up a day after cataract surgery and disappear within a few months.

Do floaters get worse after cataract surgery?

It is quite common to notice floaters much more frequently after cataract surgery, as the vision Is much clearer and the shadows can become darker as more light enters the eye. Floaters are usually not bothersome to the vision.

How often does cataract surgery fail?

At a conservative estimate, at least 25% (or 1.5 million) of the six million cataract operations performed annually in developing countries will have poor outcomes. About one quarter of these poor outcomes are due to surgical complications.

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How many times can cataract surgery be done?

This causes that foggy film over the lens and forms into a cataract. During cataract surgery, the natural cataract-affected lens is removed entirely and replaced with an artificial lens. So, it is actually impossible to get another cataract.

How soon after cataract surgery does retinal detachment occur?

The mean pooled time to RD following surgery was 23.12 months (95% CI: 17.79–28.45 months) with high heterogeneity between studies ( , ). Meta-analytic pooling for the risk of retinal detachment revealed a risk of 1.167% (95% CI: 0.900 to 1.468, , ).

Can cataract surgery cause retinal hole?

Macular hole formation is an uncommon complication of cataract extraction. Not only has it been reported after initial successful repair of a macular holes, but also within days of uncomplicated phacoemulsification in non-vitrectomized eyes.

What are the warning signs of a detached retina?


  • The sudden appearance of many floaters — tiny specks that seem to drift through your field of vision.
  • Flashes of light in one or both eyes (photopsia)
  • Blurred vision.
  • Gradually reduced side (peripheral) vision.
  • A curtain-like shadow over your visual field.

How do you prevent a vitreous detachment?

There’s no way to prevent posterior vitreous detachment. It’s a normal, natural part of aging. You should report any changes in vision to an eye specialist. They can detect other eye conditions and prevent complications.

Does vitreous detachment cause blurred vision?

In the majority of cases, PVD does not result in any side effects aside from flashes and floaters. In rare instances, patients report that their overall vision is distorted. The patient may experience blurry vision, partial loss of vision, tunnel vision, or sensitivity to light.

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Does stress cause vitreous detachment?

Can stress cause posterior vitreous detachment? As with retinal detachment, stress on its own cannot cause a posterior vitreous detachment (PVD). A PVD is simply a normal process of aging in which the vitreous gel that fills the eye separates from the back of the eye.