Ophthalmology Department, University of Ioannina, Ioannina, Greece.
General Hospital "G. Genimatas- Ag. Dimitrios", Thessaloniki, Greece.
Adv Ther. 2020 Apr;37(4):1319-1327. doi: 10.1007/s12325-020-01261-w. Epub 2020 Feb 21.
Emerging evidence has suggested that the entoptic phenomena associated with vitreous opacities (i.e. vitreous floaters) are more bothersome than previously believed. In addition, the prevalence of vitreous floaters is likely increasing due to the evolving global pandemic of myopia. The use of YAG laser vitreolysis for the treatment of annoying vitreous floaters has attracted significant attention in recent years as the technique offers a number of potential advantages. Unfortunately, the currently available evidence that is needed to guide clinical practice is both very limited and contradictory. As a consequence, the technique remains highly controversial. A review of the existing literature sheds light on patient- and treatment-related factors that may significantly affect both the effectiveness and the safety of the procedure. The current article discusses important aspects of key publications on the topic, offers suggestions for clinical practice, and highlights unmet needs that should be addressed by future research.
新出现的证据表明，与玻璃体混浊（即玻璃体浮游物）相关的内在视象现象比以前认为的更令人烦恼。此外，由于近视这一全球流行疾病的不断演变，玻璃体浮游物的患病率可能正在上升。近年来，YAG 激光玻璃体切除术治疗恼人的玻璃体浮游物引起了广泛关注，因为该技术具有许多潜在的优势。不幸的是，目前需要指导临床实践的证据非常有限且相互矛盾。因此，该技术仍然存在很大争议。对现有文献的回顾揭示了可能显著影响该手术的有效性和安全性的患者和治疗相关因素。本文讨论了关于该主题的重要文献的关键方面，为临床实践提供了建议，并强调了未来研究应解决的未满足需求。
