Editorial Feature:

Vitreous Opacities

Current Trends and Treatment Strategies

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In this Feature

Vitrectomy for floaters with enhanced vitreous 2D (Narrated Case)

John Kitchens, MD

Surgery for Vitreous Opacities in an Eye With MFIOL (Narrated Case)

Christina Y. Weng, MD, MBA

Surgery for Vitreous Opacities in an Eye With MFIOL, Previous History of Retinal Tears

Christina Y. Weng, MD, MBA

Pearls for Surgical Management of Vitreous Opacities

John Kitchens, MD

The Role of Imaging in Assessing Vitreous Opacities

Edwin H. Ryan, MD

When to Refer Vitreous Opacities

Walter Whitley, OD, MBA, FAAO; Jeffry D. Gerson, OD, FAAO; Jessica Haynes, OD; John W. Kitchens, MD; Christina Y. Weng, MDA, MBA; and Alison D. Early, MD

A Path Forward: Comanaging Patients With SVO

John W. Kitchens, MD; Christina Y. Weng, MDA, MBA; Walter Whitley, OD, MBA, FAAO; and Jeffry D. Gerson, OD, FAAO

Rethinking When to Operate on Vitreous Opacities

Donald J. D’Amico, MD; Maria H. Berrocal, MD; and Christina Y. Weng, MD, MBA

Reviewing the Literature on Vitrectomy for SVO

Donald J. D’Amico, MD; Robert Morris, MD; Ruwan A. Silva, MD; and Edwin Ryan, MD

Redefining the Criteria For Vitreous Opacity Surgery

Donald J. D’Amico, MD; John W. Kitchens, MD; S.K. Steven Houston III, MD; and Allen C. Ho, MD

Re-Thinking the Timeline for SVO and PVD Treatment

Maria H. Berrocal, MD

Offering Laser to SVO Patients

Robert Morris, MD; Donald J. D'Amico, MD

Closing Thoughts on Vitreous Opacity Surgery

John Kitchens, MD; and S.K. Steven Houston III, MD

A Review of the Literature on Vitreous Opacities

Ruwan Silva, MD, MPhil

Phakic Patients and Pseudophakic Patients: How They Differ When Presenting With Vitreous Opacities

Donald J. D'Amico, MD; María Berrocal, MD; Allen Ho, MD

How Long Should You Wait to Surgically Address Vitreous Opacities?

Donald J. D'Amico, MD; Allen Ho, MD; Elizabeth Yeu, MD

Detaching (or Not Detaching) the Posterior Hyaloid in Patients With Symptomatic Vitreous Opacities

Donald J. D'Amico, MD; Allen Ho, MD; María Berrocal, MD; Michael Ammar, MD; Jason Hsu, MD

27-Gauge Phacovitrectomy in a Patient With Dense Cataract, Asteroid Hyalosis, and Vitreous Opacities

Donald J. D'Amico, MD; María Berrocal, MD; Allen Ho, MD; Elizabeth Yeu, MD

Surgery for Vitreous Opacities in a 20/20 Patient With ERM

Donald J. D'Amico, MD; María Berrocal, MD; Allen Ho, MD

Closing Thoughts on a Roundtable on Surgery for Symptomatic Vitreous Opacities

Donald J. D'Amico, MD; María Berrocal, MD; Allen Ho, MD; Elizabeth Yeu, MD

The Surgical Management of Vitreous Opacities

A Vitreous Opacities Literature Overview

Edwin Ryan, MD

VIDEO: SLO for Identifying Floaters

Edwin Ryan, MD

Informed Consent Versus Shared Decision Making

John S. Pollack, MD

CASE: Vitrectomy for Floaters

John S. Pollack, MD

Dr. Pollack's Top Three Patient Criteria for Floaters

John S. Pollack, MD

Dr. Houston's Top Three Patient Criteria for Floaters

S. K. Steven Houston III, MD

CASE: Floaters after Cataract Surgery With Multifocal IOL

S. K. Steven Houston III, MD

Vitreous Opacity Anatomy and the Relationship to Floater Symptoms

Tarek Hassan, MD

CASE: A Master Class in Bothersome Floaters Following Cataract Surgery

Tarek Hassan, MD

CASE: Complications & Risk in Sequential Surgery in Two Eyes of a Phakic Patient

Christina Weng, MD, MBA

What's Changed? Vitrectomy for Floaters

Christina Weng, MD, MBA

Interactive Supplements

The Evolution of a Mindset: Treating Symptomatic Vitreous Opacities in Real-World Practice

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Best Practices On Referring Patients With Symptomatic Vitreous Opacities

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Vitreous Opacities

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Survey Findings on Vitreous Opacities and Expert Panel Recommendations on the Referral and Management of Symptomatic Vitreous Opacity Cases

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Vitreous Opacities Current Trends and Treatment Strategies

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Resources for Your Practice

Customizable Patient Referral Form

Use this one-page Symptomatic Vitreous Opacity Referral Form suitable for use by ODs and MDs for your patients intended to capture key information by the patient and the referring eye care professional to facilitate subsequent evaluation by the retina specialist. This form is downloadable and customizable to add your practice information.

Download (.doc)

Listen as a Podcast

New Retina Radio

All video episodes of this series are also available as podcast episodes on New Retina Radio.

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Resources for Your Referral Network

Visit Vitreous Opacities OD for expert reviews of disease identification and referral options, best practices, pearls, and more for symptomatic vitreous opacities.

View OD Resources

About This Editorial Feature

Vitreous opacities or floaters are a common ocular condition that seem ubiquitous in a retina practice. Although symptoms are minimal in most patients, they can cause significant impairment in vision-related quality of life (QoL) in some patients.
The objectives for this panel discussion included: providing an overview of symptomatic vitreous opacities and their treatment options, discussing best practices in patient identification for surgical treatment, reviewing surgical pearls for vitrectomies and the role of laser treatment, if any at present, and providing clarity around the treatment approach to optimize outcomes for patients with vitreous opacities.