Abstract
We performed a scanning electron microscopic observation of the posterior retinal surface of 59 autopsy eyes with spontaneous vitreous detachment. In 26 eyes (44%), there were remnants of the posterior vitreous membrane in the foveal area. These vitreous cortex remnants formed three basic patterns. They appeared either as disc-shaped collagenous membranes covering the fovea, as rings along the foveal margin, or forming a structure that resembles a cyst. Each of these patterns seemed to have a counterpart to various known clinical situations.
These findings imply that remnants of the vitreous cortex membrane frequently remain attached to the fovea after apparent complete posterior vitreous detachment. The observed features would provide morphological basis for the interpretation of several clinical conditions that take place along the vitreoretinal interface at the fovea.
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References
Foos RY: Vitreoretinal juncture; topographical variations. Invest Ophthalmol 11: 801–8, 1972
Jaffe NS: Vitreous traction at the posterior pole of the fundus due to alteration in the vitreous posterior. Trans Am Acad Ophthalmol Otolaryngol 71: 642–652, 1967
Foos RY: Posterior vitreous detachment. Trans Am Acad Ophthalmol Otolaryngol 76: 480–97, 1972
Balazs EA: Molecular morphology of the vitreous body. In Smelser, G.K., Ed.: The structure of the eye. Academic Press, New York, 293–310, 1961
Snowden JM, Swann DA: Vitreous structure. The morphology and thermal stability of vitreous collagen fibers and comparison to articular cartilage (type II) collagen. Invest Ophthalmol Vis Sci 19: 610–8, 1980
Theobald H, Faulborn J: Scanning electron microscopic aspect of the vitreous body: Technique of preparation. Albrecht von Graefe Arch klin exp Ophthalmol 214: 33–8, 1980
Tolentino FI, Schepens CL, Freeman HM: Vitreoretinal disorders; Chapter 6; Vitreous changes due to growth and aging; p121–129. W.B. Saunders, 1976
Wise GN: Clinical feature of idiopathic preretinal macular fibrosis. Am J Ophthalmol 79: 349–57, 1975
Maumenee AE: Further advances in the study of the macula. Arch Ophthalmol 78: 151–65, 1967
Jaffe NS: Macular retinopathy after separation of adherences. Arch Ophthalmol 78: 585–91, 1967
Messer KH: Spontaneous separation of preretinal macular fibrosis. Am J Ophthalmol 83: 9–11, 1977
Sumers KD, Jampol LM, Goldberg MF, Huamonte FU: Spontaneous separation of epiretinal membrane. Arch Ophthalmol 98: 318–20, 1980
Gass JDM: Photocoagulation of macular lesions. TransAm Acad Ophthalmol Otolaryngol 75: 580–608, 1971
Gass JDM: Stereoscopic atlas of macular disease. CV Mosby, St Louis, 208, 1970
Allen AW Jr, Gass JDM: Contraction of a perifoveal epiretinal membrane simulating a macular hole. Am J Ophthalmol 82: 684–91, 1976
Morgan CM, Schatz H: Idiopathic macular hole. Am J Ophthalmol 99: 437–44, 1985
Aaberg TM, Blair CG, Gass JDM: Macular holes. Am J Ophthalmol 69: 555–62, 1970
McDonnel PJ, Fine SL, Hillis AI: Clinical features of idiopathic macular cyst and holes. Am J Ophthalmol 93: 777–86, 1982
Bronstein MA, Trempe CL, Freeman HM: Fellow eyes of eyes with macular holes. Am J Ophthalmol 92: 757–61, 1981
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Kishi, S., Demaria, C. & Shimizu, K. Vitreous cortex remnants at the fovea after spontaneous vitreous detachment. Int Ophthalmol 9, 253–260 (1986). https://doi.org/10.1007/BF00137539
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DOI: https://doi.org/10.1007/BF00137539