With age the vitreous gets less jelly-like and more firm - loss of fluid, pulls the vitreous off the posterior wall

Causes/Factors

  • Male
  • Older age
  • Humour less firm
  • Myopia (larger vitreal chamber)
  • FHx
  • Trauma

Symptoms

  • Lots of flashes and floaters
  • Painless

Signs

Investigations

  • Need to rule out retinal involement

Management

  • Quite conservative - brain will compensate to floaters and filter them out
  • Surgical treatment can replace the vitreous with an artifical analouge

Complications/red Flags