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Moon Jung Choi, Su Jin You; ACUTE SYMPTOMATIC FLOATER. Invest. Ophthalmol. Vis. Sci. 2017;58(8):5993.
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To evaluate and establish the rate of pathologic findings for patients with acute, symptomatic floater.
Retrospectively records of 3377 eyes (2649 patients) with acute, symptomatic floater who visited Kim’s Eye Hospital from January 1, 2015 to December 31, 2015 were evaluated. Patients with previous retinal detachments resulting from other ocular pathologic features, direct ocular trauma, or previous vitreoretinal and cataract surgery were excluded. Their standard examination included visual acuity, intraocular pressure measurement, anterior segment examination, and dilated fundus examination using a slit-lamp biomicroscope and indirect ophthalmoscope.
The incidence of floater symptom was common in female than male respectively (p<0.05). And the most common cause of floater was posterior vitreous detachment (10.4%). The incidence of retinal tear was 0.8% (28 eyes) and 27eyes of them were undergone barrier laser. The incidence of lattice degeneration was 1.8% (61 eyes) and 36 eyes of them were treated with barrier laser. 3 cases of all showed retinal detachment. 2 cases of them were managed with barrier laser, 1 case was treated with scleral buckling and cryotherapy. And the incidence of retinal hemorrhage and vitreous hemorrhage was 0.4% (15 eyes), 0.02% (8 eyes) each. Other pathologic findings include epiretinal membrane (0.5%, 19 eyes), uveitis (0.4%, 14 eyes), and endophthalmitis (1 eye).
The study revealed that the pathologic findings of floaters may be encountered: retinal detachment, retinal tears, lattice degeneration, vitreous hemorrhage, retinal hemorrhage, uveitis and endophthalmitis. Patients with an acute, symptomatic floater should be examined closely and if the results of an initial examination are negative for pathologic finding, the necessity of early follow-up should be needed.
This is an abstract that was submitted for the 2017 ARVO Annual Meeting, held in Baltimore, MD, May 7-11, 2017.
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