• The Vitreous
• The Normal Eye
• How the Vitreous Changes ..the posterior vitreous detachment
• The Eye Examination
• The Treatment: non usually
• Precautions
• Retinal tear
• Full size animation

A clear jelly —the vitreous or ‘vitreous jelly’—fills the middle of the eye. The vitreous lies against the retina in the normal eye. It is transparent like glass, so light passes through it to reach the retina: the retina is the film that lines the back of the eye.

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The eye is like a small ball, the size of a table-tennis ball.

Light enters the eye, and then passes through to fall on the retina. The retina turns the light into electrical signals, which are then sent to the brain.

This shrinking process may happen rather suddenly, that is over a few days. This process is called a posterior vitreous detachment.

The eye still sees well with a shrunken vitreous: the shrinkage is essentially like a jelly liquefying, and no harm comes to the eye.

The vitreous may shrink in different ways.

First, it may shrink away from the retina, and leave the retina unaffected. You may not notice if this happens.

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Secondly, it may tug the retina gently. This may cause tiny flashes of light. These usually subside over a couple of weeks.

Third, you may develop floaters. Tiny amounts of pigment may come off the retina, into the vitreous, and this may cause floaters. You may see these as a spiders web or veil over the eye. The floaters disappear a little, and become less noticeable, over the next few weeks or months.

Floaters are naturally much more noticeable if you only have one good eye (and this process is happening in the good eye).

Less commonly, the vitreous may pull the retina and make a small retinal tear,

Occasionally the PVD (the shrinking vitreous) pulls the retina to make a retinal tear.

or even less commonly, a detached retina.

See

The examination may be carried out with several types of instrument, or even a contact lens, and occasionally the doctor has to press on the edge of the eye. This may be a little painful.

There is no treatment that will put the vitreous back in position. The floaters and veil that may have drifted across your sight subside by themselves. You may notice a large floater for a long time, which is a nuisance; the doctor can not remove this. As mentioned, most people become accustomed to the floater or floaters, and with a little effort ignore them.

Tears are uncommon, but if one develops, laser treatment around it, or freezing therapy, may be necessary to prevent the tear becoming larger.

See full size animation and text here.

If the doctor checks your eye and all is well, the floaters and flashes subside. However, you usually need a further examination if

• you suddenly develop a lot more flashes or floaters (this could be a small tear)
• a shutter or curtain of blurred vision drifts across your eye, sometimes from below. To check for this, cover one eye at a time for a few seconds every day. If the eye you have not covered sees well in all directions, all is well.

An area of poor sight drifting across your vision: if such a problem develops, you need a check the same day or next morning to determine whether or not there is a retinal detachment.

Test your sight everyday covering one eye at a time.

If you are a health professional and want to have a leafet to give to give to patients, instead of this web page, see 200k Adobe PDF

Alternatively, this is a Microsoft Publisher click here document, and you are welcome to download it and print copies. You are welcome to make changes for your patients (you can edit the leaflet in Microsoft Publisher).You will need M Publisher 2000 to open and print the document. M Publisher is bundled as part of Microsoft Office. The only condition is that you let me know if there are any errors. The document is 400k. The document can be printed out and photocopied to provide a double-sided leaflet 1/3 A4 size for your patients. The address is http://www.diabeticretinopathy.org.uk/leaflets/pvdweb.pub