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Jackson et al in a meta-analysis of vitreous attachment in DME found the cumulative prevalence of VMT or taut hyaloid being 18%, with 28.
Internal limiting membrane delamination vs posterior hyaloids removal.
The inner surface is closely apposed to the posterior hyaloid face, or vitreous cortex, facing the vitreous cavity.
8,9) Some researchers have reported the lens epithelial cells and their remnants formed a basis for proliferation on the anterior hyaloid surface.
Moreover, triamcinolone particles were much more freely mobile in the fluid-filled posterior hyaloid space compared to the vitreous gel body, further aiding removal of the posterior hyaloid.
Subhyaloid haemorrhages are found between the inner limiting membrane and the posterior hyaloid face.
After clearing the media of hemorrhage by core vitrectomy, the posterior hyaloid was removed using suction if still attached.
DRT[right arrow]Diffuse Retinal Thickness; CME[right arrow]Cystoid Macular Edema; SRD[right arrow]Serous Retinal Detachment; PHT[right arrow]Posterior Hyaloid Traction; TRD[right arrow]Tractional Retinal Detachment
Especially in young patients like the current case in which the anterior hyaloid is tight, the vitreous compact, and the zonules intact, the anterior capsule rupture is limited to the equatorial plane and does not continue to the posterior capsule.
Two days later, 23-gauge (G) pars plana vitrectomy (PPV), posterior hyaloid dissection and ILM peeling were performed.
Persistent hyperplastic primary vitreous (PHPV) is a rare, (16) non-hereditary, (1) developmental malformation of the eye where the embryological primary vitreous and hyaloid vasculature fail to regress.