H43.02

Clinical Causes: Aging-related changes that weaken the vitreous body's attachment to the retina Retinal tears or detachments that allow the vitreous to move abnormally Eye injuries or trauma disrupting the vitreous structure Previous eye surgeries, such as cataract removal or vitrectomy High myopia (nearsightedness), which predisposes the eye to structural changes Inflammatory or infectious eye conditions that compromise vitreous integrity

Key Symptoms: Sudden appearance of floaters—small spots, threads, or cobweb-like images moving across the visual field Flashes of light, especially in the periphery of vision Blurred or cloudy vision if the vitreous prolapse causes or signals retinal issues A perception of shadow or curtain moving across the eye if retinal detachment occurs No noticeable symptoms in some cases, with vitreous prolapse discovered during routine eye examinations

Diagnosis Path: To identify vitreous prolapse, an eye specialist conducts a comprehensive eye exam including dilated fundoscopy, which allows clear visualization of the vitreous and retina. Additional imaging tests like ultrasound B-scan may be used if the view of the retina is obscured due to opacities or bleeding. The diagnosis involves assessing the position of the vitreous gel and checking for concurrent retinal detachment or tears.

Treatment Protocols: Treatment options depend on the severity and associated risks. In many cases, observation is recommended if the vitreous prolapse is not causing significant symptoms or retinal damage. If retinal tears or detachment are present, procedures such as laser therapy or cryotherapy may be performed to secure the retina. In rare cases, especially if significant vitreous hemorrhage or traction exists, surgical interventions like vitrectomy might be necessary to remove or reposition the vitreous gel. Patients are regularly monitored to promptly address any worsening or complications.