Posterior vitreous detachment is a common age-related eye condition. It often causes flashes of light or floaters in vision. While usually harmless, PVD can sometimes signal more serious retinal problems that need prompt attention.
The eye is filled with a clear gel called the vitreous. As we age, the vitreous naturally shrinks and pulls away from the retina — this is known as a posterior vitreous detachment (PVD).
Most PVDs are not sight-threatening. However, in some cases, the pulling can cause retinal tears or detachment, which require urgent treatment.
If floaters suddenly increase or flashes appear suddenly, this may signal a retinal tear or detachment and requires immediate evaluation.
Common symptoms of PVD include:
Small specks, cobwebs, or strands that drift across your vision.
Brief flashes in the peripheral vision, especially in dim settings.
Sometimes mild blurring or haziness.
PVD is diagnosed through a comprehensive eye exam, often including:
Allows direct viewing of the retina for tears or holes.
Detects retinal tears or detachment.
Provides detailed imaging when the retina cannot be clearly seen.
Most PVDs do not require intervention, and symptoms may improve as the brain adapts to floaters.
Regular follow-up exams to ensure no retinal tears develop.
If complications occur, urgent laser therapy or surgery may be needed.
Many people live with floaters after PVD. While they can be annoying, they often become less noticeable over time. Helpful steps include:
At Retina Consultants of Hawaii, we provide thorough evaluation and care to distinguish between harmless floaters and more serious retinal conditions.to help patients with ERM protect and improve their vision.
If you notice new flashes of light, a sudden increase in floaters, or a shadow in your vision, speak with your current eye care provider right away. If a retinal condition is suspected, they can coordinate specialized care with our team.
