gms | German Medical Science

21st Annual Meeting of the German Retina Society and 8th Symposium of the International Society of Ocular Trauma (ISOT)

German Retina Society
International Society of Ocular Trauma

19.06. - 22.06.2008, Würzburg

The adherent vitreous – a cause for vitreoretinal diseases

Meeting Abstract

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  • Jörg Christian Schmidt - Marburg/Germany
  • S. Mennel - Marburg/Germany

Retinologische Gesellschaft. International Society of Ocular Trauma. 21. Jahrestagung der Retinologischen Gesellschaft gemeinsam mit dem 8. Symposium der International Society of Ocular Trauma. Würzburg, 19.-22.06.2008. Düsseldorf: German Medical Science GMS Publishing House; 2008. DocISOTRG2008P17

The electronic version of this article is the complete one and can be found online at:

Published: June 18, 2008

© 2008 Schmidt et al.
This is an Open Access article distributed under the terms of the Creative Commons Attribution License ( You are free: to Share – to copy, distribute and transmit the work, provided the original author and source are credited.



Background: Due to the immediate neighborhood of vitreous and retina, retinal diseases are frequently associated with changes of the vitreous.

Material and method: During the last years, the condition of the vitreous and a posterior vitreous adherence were diagnosed biomicroscopically, by ultrasound and by OCT. The findings were then compared with findings during vitrectomy.

Results: In almost all vitrectomies for macular and retinal diseases we found an attached posterior vitrous intraoperatively, which seemed especially adherent at the posterior pole. This correlated only partly with preoperative findings, where a posterior vitreous detachment was described frequently.

Conclusion: The literature describes a high percentage of complete posterior vitreous detachment in patients, increasing with age. In patients that undergo vitreoretinal surgery for macular or retinal diseases, an attached posterior vitreous is found frequently. We postulate, that this finding, which is untypical for that age group, may be a causative agent for retinal or vascular disease and prevents a successful treatment of AMD and other diseases because of macular traction. An early removal of the posterior vitreous may support treatment of these diseases.