Plugging of the vitreous body treatment is absorbing. Blind of vitreous body: causes, symptoms, diagnosis, treatment. Assistance and treatment

06.08.2020 Products

Quite often at the reception at the ophthalmologist, patients complain about the appearance in the eyes of shimmer points, outbreaks that arise during the movement of the eyeball.

Such visual effects appear at different ages. Usually they are especially noticeable with bright daylight or when looking at white items.

Sometimes the number of flies decreases or they disappear at all. But when this does not occur, and the symptoms only progress, it is very important to establish their true cause.

In some cases, they indicate serious diseases organs of vision. One of these common diseases is destruction fiscame body.

What it is

Destruction of the vitreous body is a change in the structure of a vitreous body, accompanied by clouding and impaired functions. Symptoms appear already at an early stage of the disease, and with the help special treatment Its progression can be stopped.

Brief description of the disease

The vitreous body is a gel-like substance, fully filling the space between the lens and the retina. It consists of several main components:

  • water;
  • hyaluronic acid;
  • proteoglycans;
  • collagen.

It is collagen and hyaluronic acid that make a glassy body thick and resembling gel structure.

The vitreous body is absolutely healthy man Transparent and colorless. This makes it a special structure of molecules of those substances from which it consists.

Due to some diseases, the properties of molecules are changing, and they disintegrate into smaller particles.

In this case, not only the structure of the vitreous body changes, but also decreases its size. As a result, the vitreous body is filled with turbid opaque formations, which are products of decay of cholesterol and proteins.

The shadow is projected onto the retina, forcing the human eye to see them as points or shimmering lightning.

Prevalence and significance

The destruction of the vitreous body is common pathology, which is found in almost 70% of middle-aged people, applying for ophthalmic help.

Most often with diseases facing people aged 40-65 years. Women are sick more often than men, but the causes of such a correlation of morbidity with the floor are not installed.

In recent years, there has been a tendency to reduce the average age of manifestation of the DST: more and more children and young people suffer from this ailment.

Risk factors

For some groups of persons, the risk to get the destruction of the vitreous body is higher than the average in the population. Here are the main categories of people subject to DST:

  • people over 40 years old;
  • female female;
  • patients with high degree myopia;
  • people whose work is associated with high eye loads or exposure to harmful substances;
  • pregnant and nursing women;
  • people suffering from all kinds of chronic diseases.

The reasons

It is known a huge number of reasons that cause the destruction of the vitreous body. In most cases, the DST is developing under the influence of several reasons at once. Causes are usually divided into physiological and pathological. Physiological include:

  • age degenerative changes;
  • changes in hormonal backgrounds associated with natural states (pregnancy, puberty, lactation);
  • high physical or psychological loads;
  • insufficient nutrition that caused a shortage of vitamins and trace elements.

The following reasons are considered pathological.

Views

Several varieties of the destruction of the vitreous body are distinguished:

  1. Nichtage destruction. With this form of the disease in a vitreous body, under the hardware examination, oblong fibers are found, located at a low condition from each other. This form usually arises in individuals suffering from vascular and metabolic disorders, myopia, as well as in people in old age. The degree of the disease can vary from easy to extremely severe.
  2. Grainy destruction. In this case, when viewed by a slit lamp, rounded particles are found, reminiscent of fine suspension. The suspension consists of pigment cells, protein bases and leukocytes. Most susceptible to this form DST patients diabetes and chronic infectious diseases eye.
  3. Crystal destruction. This form is the rare. With a microscopic examination, particles are found in shape resembling crystals. Calcium, magnesium and cholesterol decomposition products accumulate in the vitreous body.

Symptoms and methods of diagnosis

The destruction of the vitreous body is not difficult to suspect the patient's complaints. As mentioned above, the main symptom, disturbing patients, is the emergence of various visual effects that resemble the flickering of "flies".

Such a symptom is characteristic of tens of other diseases, but some signs are forced to suspect exactly the destruction of the vitreous body:

  • visual effects are kept constantly;
  • "Flies" do not change their forms and sizes;
  • "Flies" are noticeable only when the patient is in bright natural lighting or looks at white items.

According to the degree of severity of symptoms, one can judge the severity of the disease. The stronger the manifestations, particles flashing in the eyes are noticeably, the hardest defeat of the vitreous body.

It is very important not to ignore these symptoms, since without proper therapy, the DST can lead to a detachment of the vitreous body and irreversible loss of vision.

In addition to the collection of anamnesis, hardware techniques are used to form an accurate diagnosis of doctors. Most often apply:

  • ophthalmoscopy;
  • inspection in the slit lamp;
  • automated check of visual acuity.

To compile a complete picture of the disease, the patient is invited to pass the inspection of the neurologist, therapist, endocrinologist and rheumatologist.

Treatment

Unfortunately, in most clinical situations, none of the current treatments currently have sufficient effect. In some cases, the situation is allowed independent without any intervention, but most often the violations in the work of the vitreous body remain for life.

The question of the need for treatment should be solved individually for each patient, taking into account the severity of manifestations and forms of DST. Radical and specific ways to restore the structure of the vitreous body does not exist. All methods of treatment are aimed at eliminating the causes that caused DST and on the removal of unpleasant symptoms.

Medicia treatment

When destruction of the vitreous body, the following drugs are prescribed:

Surgery

Surgical treatment methods should be used with great caution and only if the alleged benefits exceeds the risk. This is due to the high probability of developing heavy postoperative complications In patients with DST. Operations are contraindicated in patients over 65 years due to progressive age-related changes.

The following types of operations are held:

  • vitreolysis ( laser operation, providing for the destruction of muddy particles in a vitreous body);
  • vitrectomy (removal of the natural vitreous body and its full replacement for the implant).

Folk treatments

Alternative medicine proposes to treat the destruction of the vitreous body by instilcing homemade droplets into the eyes. For the manufacture of such drops use:

  • honey and water;
  • honey and aloe juice;
  • propolis.

Folk treatments should be used with caution, since sometimes they can only aggravate the situation.

Prevention

There are no specific measures for the prevention of DST, but experts advise:

  • strengthen the body;
  • news healthy image life;
  • eat right;
  • reduce eye loads;
  • in time to treat ophthalmic diseases.

Forecast

In most cases, the prognosis is favorable and the disease is allowed independently. In some cases, the structure of the vitreous body is restored by various methods Treatment. At about 10% of cases, DST is not amenable to treatment, remains with the patient until the end of life and leads to a significant decrease in vision.

RESULTS

  1. The destruction of the vitreous body is one of the most commonly encountered ophthalmic diseases.
  2. It is mainly developing in people over 40 years old.
  3. DST can develop due to a large number of reasons.
  4. The forecast in most cases is favorable.

Video

We present to your attention the following video:


Doctors argue about the harmlessness of "flies" before eyes, however, a major study was published in the American Journal of Ophthalmology magazine, which revealed the desire for patients to donate the whole year of their life from the total duration of its existence only to forget the floating clouds in the eyes forever .

A discussion is underway, it is actually reflected this study the state of this problem. What is the role of the patient's personality features and its character in the matter of whether to do the operation or not? And if this role is weighty, how much?

In the question of whether the unit turbidity of the vitreous body or "flying flies", if they are primary, and not caused by some other diseases, should not be in doubt. Such cloues are not dangerous to the health of the eyes, they do not have medical consequences. But still, visit an ophthalmologist is recommended to eliminate any related eyes, for example, inflammation or retinal gap.

If multiple cloues are observed in the eyes, a person can complain about a certain discomfort in the form of eye fatigue, reducing the speed of reading, recycling, reduce contrast sensitivity. Such symptoms are explained by the fact that in the presence of clouds, scattering in the eyes of light is more pronounced than in their absence.

Over time, a person gradually aging the structure of a vitreous body, which is manifested by its discharge, wrinkling, detachment from the retina of the rear surface, that is, the age-related change in the vitreous body.

Directly detachment of the vitreous body is accompanied by pronounced visual interference - periodic "outbreaks", the curvature of objects in the central field of view. Patients cease to complain about these symptoms when the vitreous body was already detailed from the retina.

Fulfilling whether a person has a back detachment of a vitreous body or not, it is important, because in the presence of detachment, the symptoms of the turbidity of the vitreous body are transferred easier.

In elderly patients who have a violation of cholesterol exchange, clouding ("silver rain", "golden rain") may include crystalline inclusions of cholesterol, magnesium, phosphorus, calcium salts.

In this case, there is a light scattering, in which, due to movement of the movement of the eye of muddy particles, it may be difficult to focus on small objects. When diagnosing such clouds, the doctor must consult with the patient relative to the regulation of cholesterols and check the level of lipids in the blood.

Often, the presence of floating clouds in the vitreous body (PPST) does not bring discomfort in the form of a decline in vision. "Despite this, for some patients floating clouds are a significant problem. And we must solve this problem, "said Professor Mark de Smet from the University of Amsterdam (Netherlands).

Some patients are ready to undergo an invasive procedure even despite the risk. And the ophthalmologists themselves are not so categorical in the need for an invasive procedure. Exist surgical techniquesBut in practice they are rarely used, and only for those patients who have symptomatic PPST.

With a traditional approach to the treatment of the PPST, the doctor clarifies the patient the consequence of this state, as well as the lack of a threat. But, nevertheless, to solve this problem, surgical interventions also apply. Many surgeons performing operations to get rid of the PPST are carried out by the rear whitomy, which is an operation to replace the vitreous body to natural intraocular fluid (Eye produced). For this procedure, you must first remove the vitreous body. Such operations are suitable for various retinal pathologies. But when planning this operation, it should be considered that after its conduct there is a high risk of cataracts.

Recently, in order to reduce the size and intensity of clouds, doctors began to apply laser treatment. But today there are no clear indications for the procedure, as well as clear prognostic criteria.
Another type of alternative treatment is pharmacotherapy with resorption (vitreolytic) drugs, however, this technique is still investigated.

In addition to the back pair of a vitreous body and changes in the structure of the fibers, a set of reasons may result in the emergence of floating clouds. For example, any cellular material located in the substance of the vitreous body can lead to this. Often, these materials are erythrocytes (if hemorrhage is observed) or erythrocytes (if inflammation is observed). In such cases, floating clouding is a harbinger of vision reduction. The appearance of clouds in the vitreous body, due to bleeding, requires a survey in the clinic from an ophthalmologist due to the fact that it may be a consequence of diabetic manifestations in the eyes or a consequence of the retinal break. The patient should pass a survey in order to confirm either refute these diseases. Treatment should be timely to prevent complications.

Provoke the development of vitreous body turbidity can affect the patient of various factors that change the composition and deform education. As a result, the functional activity of the eye and the rays of light are not capable of focusing in the right place on the retina. Health care In this disease, it is to remove the vitreous body with the replacement of artificial implant.

The most common cause of clouding is a modified composition of the fluid, which is the basis of this formation.

Causes of development

Floating turbidity of the substance of the vitreous body arise as a result of the impact on the human body of such factors:

  • diabetes;
  • hormonal imbalance;
  • frequent stress;
  • high degree of myopia;
  • arterial hypertension;
  • old patient age;
  • inflammatory pathology of the eyes;
  • depletion of the body;
  • vegeth-vascular dystonia;
  • hypothyroidism;
  • atherosclerotic changes of the neck vessels;
  • significant visual loads;
  • hypovitaminosis;
  • physical overwork;
  • poor lighting of the workplace;
  • the presence of a focus of chronic bacterial infection;
  • intoxication of the body;
  • contact with toxins;
  • transferred injuries or operational interventions.

Pathological changes in Vitreum provoke a violation of the work of the retinal organ.

When destruction of the vitreous body, which is associated with a multitude of various factors, it is clouded. Education is a ball that fills the eye and which contains a large amount of fluid. It provides the tone of the eyeball and supports all its structures in an anatomically correct position. When destruction, the vitreous body loses its functions, and the eye deformation and retinal dysfunction occurs, since the rays of light are not able to focus in the right place.

Basic symptoms

Plugging of the vitreous body causes such characteristic clinical signs in a patient:

  • flushing of flies and the appearance of pellets in front of the eyes;
  • photopsy;
  • the emergence of areas with a lack of view;
  • cattle;
  • violation of flower perception;
  • reducing visual acuity especially at dusk;
  • headache;
  • fast fatiguability.

The stronger the pathology is progressing, the irritable man becomes irritable.

Pathology is characterized by rapid progression and can cause the development of the disease of the lens, as a result of which he will lose its transparency. With an increase in the number of clouds, the patient's performance suffers significantly, it becomes sluggish and irritable. The permanent presence of photopions in view brings patients with physiological and psychological discomfort.

There are several forms of destruction, which differ depending on the type of inclusion in the substance of the eye. Most often there are stranded changes when fibrin threads are found. It is also possible to form grains. The main cause of this process is a long course of inflammation. In the event of crystals, you can suspect a violation of metabolism in the body.

Diagnostic events

To suspect the turbidity of the vitreous body by the presence of symptoms characteristic of this pathology. To confirm the diagnosis, it is necessary to conduct an ophthalmoscopic examination, check the visual acuity and indicator intraocular pressure. Ultrasonic diagnostics for the eyes are recommended, as well as computed tomography of the eyeball and neck for the presence of shifting, feeding eyes, arteries. Also shows angiography and yet general analysis blood.

Treatment of pathology


Microcirculation in the organ can be improved using emoxipin.

Therapy when identifying the disease of the vitreous body depends on the causes of turbidity. Restore the substance that constitutes the basis of education using funds that improve microcirculation, the main among which are "Emoxipin" and others. The means to enhance the cinnarizine brain activity and Cavinton are shown. Outwardly used absorbing drops.

In the absence of a result after conservative therapy, operational intervention is used. The removal of the vitreous body is the excision of this formation with the replacement of artificial components. Vitreolysis is performed in the event of an increased risk of retinal detachment, laser exposure is used for this procedure. The operation is performed outpatient with local anesthesia. After operational treatment Patient is appointed permanent nursing care. Emoxipin drops or its parabulbar injections are prescribed.

In combination with traditional treatment Used unconventional impact methods. You can use honey-based eye drops. At the same time it is bred in half with water and bury 2 drops 3 times a day. You can also combine honey with aloe, which will help to eliminate the infection from the eyes. In the form of orders, geranium juice or brilliance are used.

Pathology meets mainly in men older than 50 years.

The destruction of the vitreous body is called the turbidity of the fibers included in the structure of the eyeball. The main reasons for the formation of a destructive process leading to turbidity may become diseases of the hematopoietic system, preceding eye diseases, as well as changes in age and physiological nature, occurring over time in the human body.

Treatment of this disease consists of eliminating symptoms that accompany clouding or removing problem areas using a surgical operation. The appearance of the turbidity of the vitreous body does not affect the activity of the patient's lifestyle. However, the appearance of partial (sometimes complete) vision loss on the patient eye is allowed in a very launched form.

The vitreous body looks like a transparent substance that does not have vessels. They filled the cavity of the eyeball, which is between the lens and the retina. In a healthy person, it is absolutely transparent, clean, having no modifications and inclusions.

Destruction develops against the background of fibers and losses with transparency, and this leads to gradual destruction of the retinal structure. The destructive process proceeds as the discharge of a vitreous body, followed by peeling.

This deviation can manifest itself both in full and partial volume. Such pathology in most cases appears in the central sector of the eyeball, but sometimes observed along the periphery. On the early stages The development of the disease in the vitreous body is formed by emptiness, gradually filled with scraps of dead fibers and liquid accumulating in the process of decaying the transparent substance.

The vitreous body loses its geometric parameters: there is a pathological sticking of fibers and a variety of weave moving inside the diluted substance. Together with the discharge, the film, of different density and dimensions, which, due to inflammation, can stick to the eye DNN, and this will lead to a dangerous pathological process. Wrusting the vitreous body is one of the most severe forms of degradation, because of which hemorrhage, bundle or retinal rupture occurs.

Together with the black small dots characteristic of the destruction of the vitreous body, outbreaks may occur before eyes, which indicate the formation of voids inside the eyeball. Detect muddy particles is very difficult, as they move with the eye. With insufficient and improper lighting, it is almost impossible to identify defects.

The destruction can manifest itself in the form of a golden rain - this phenomenon is most characteristic of patients of retirement age, having disorders of cholesterol and suffering from diabetes. Such a complication appears in the presence of calcium, magnesium, tyrosine, phosphorus or cholesterol.

Biomicroscopy makes it possible to detect these microparticles that are synchronously moved along with the eyeball. They can have different shape And the color, which is most often golden, brownish or snow-white.

Symptoms

The main sign of the existing destruction of the vitreous body is the appearance of various visual effects during wakefulness before the eyes, among which it will often be observed: spots, web, flash, white zipper, etc. Such an optical element has the difference from the effect that appears after injury, bright lighting, Skump arterial pressure and lifting weights.

The expressive elements floating in front of the eyes, the stronger the form of the destruction of the vitreous body. If cloues look like a clear thread-shaped structure, then atherosclerosis or complicated form of hypertension will be diagnosed in the patient. The appearance of lightning-shaped, short flashes is one of the signs of detachment of the vitreous body.

As a result of injury injury, either in the case of a tumor, the destruction of the vitreous body will manifest itself in the form of fine-grained clusters.

Causes of appearance

Destruction of the vitreous body is physiological and pathological character, and it arises for the following reasons:

  • diabetes;
  • dystrophy;
  • diseases of the hematopoietic system;
  • myopia;
  • chronic and sharp inflammation in the eye;
  • long-term eye loads (reading, bright lighting, computer);
  • changes or violation of the hormonal background;
  • mental loads and nervous breakdowns;
  • physical exhaustion, weakness;
  • change external view and the structures of the eyeball with age;
  • injuries of the dark part of the skull, forehead and eyes.

The reason may also be incorrect operation or damage internal organs, such as liver, spleen, thyroidkidney.

Diagnostics

The following methods are used to identify the disease:

  1. Standard check of visual acuity.
  2. Ophthalmoscopic examination.
  3. Drawing up an existing anamnesis.

All data that collected as a result of examination and preliminary inspection make it possible to summarize the presence (or no) of destructive processes in the vitreous body.

Assistance and treatment

Treatment of the destruction of the vitreous body in most cases does not give any result.

Which of the treatment methods will be applied, the doctor decides. The effectiveness of the therapy is fully dependent on the species of optical effects in the patient, the area of \u200b\u200bthe affected zone of the vitreous body, as well as the effects of pathological and emotional factors on the body's condition.

Eyes has a medical name destruction. With this pathology of the organs of view, there are occurrence in the auditorium of all sorts of visual images, which move along with the movement of the view.

The vitreous body is between the lens and the retina

The vitreous body is a viscous geliform substance, the filling gap between the eye and.

The student fluid, filling 2/3 of the eye apple from the total volume, is placed in a frame consisting of fibrillar proteins.

In the normal state, the vitreous body should be completely transparent. During destruction, some of its long fibers thicken, forming turbidity.

If its discharge occurs, the fibrils stick to each other, woven, creating visual impressions in the form of images, like various spiders or octopus. In this case, the vitreous body decomposes into two inhomogeneous parts - a thick substance and liquid.

During the thinning process, so-called flies appear, as well as sparks and light glimpses in the eye organs due to an unnatural reaction to the zones of optical voids.

Such manifestations cannot be compared with short-term effects that appear due to some factors:

  • blood pressure fluctuations;
  • raising various degrees weights;
  • performing enhanced physical exertion;
  • obtain powerful blows to the head area.

The observation of the clouds is significantly increased when a person's look at any one-photon bright plane. It can be white pure snow, clear blue sky or just a common white wall.

The presence of weak visual effects can neglected by a person, or bring easy irritation and inconvenience. With serious violations of the homogeneity of the substance, diseases occur visual organs, as well as a destructive impact on psychological condition man.

Destruction is not an independent disease. Her emergence indicates the existence of all kinds of problems with the eyes and the need to apply therapeutic actions.

Causes of occurrence


Body clouding: flies before eyes

Most frequent cause The appearance of vitreous fluid velocities is the flow of ordinary physiological processes aimed at the gradual aging of the human body.

In this regard, a huge number of people of middle, as well as an elderly category of humanity, in varying except manifestations are found with pathological phenomena.

There are a number of certain factors affecting the development of degradation:

  1. the presence of myopia;
  2. mechanical injuries of visual organs;
  3. diseases blood vessels, including strokes;
  4. defeat infections, flowing different inflammatory processes In the area of \u200b\u200bthe eye, among which, Horsoiditis, Blepharitis;
  5. serious skull injuries;
  6. manifestations of vegetative-vascular dystonia;
  7. severe exhaustion of the body;
  8. hormonal failures for age reasons due to pathological flows during pregnancy and breastfeeding;
  9. sugar diabetes, other diseases due to the destruction of normal activities exchange processes human body;
  10. reinforced eye loads;
  11. the impact of various toxins and radiation.

Diagnostics


Blind of vitreous body

To accomplish the disease detection, certain methods of patient diagnosing are used:

  • ophthalmoscopy;
  • biomicroscopy eye;
  • determination of the degree of increasingness;
  • collect anamnesis.

Based on the results of the studies, the existence in the vitreous body of the visual organs of destructive processes is confirmed or refuted.

Conducting therapeutic action

In general, the implementation of therapeutic actions for the treatment of turbidity of the vitreous body into relative extent do not bring due results.

Small fibers connective tissue In cases of small destructive changes, self-destruction. But with quite large formations, the remains of the fibers, like the deposition of crystals, are preserved there forever.

The definition of the need, as well as the effectiveness of therapeutic measures for the treatment of this disease occurs individually, depending on certain factors:

  1. the presence of optical phenomena;
  2. violation of visual acuity;
  3. the volume of destructive destruction;
  4. the impact of pathological lesions on further efficiency and overall human well-being.

The implementation of the therapeutic measures to get rid of the problem is as follows:

  • elimination of the reasons provoked the course of the pathological destructive process;
  • reduction of visual tensions;
  • resort to drug treatment methods.

Body clouding affects the quality of vision

With destructive lesions of the field of the vitreous body, medical workers are usually recommended to the patient the use of certain drugs:

  1. preparations having a dissolving effect, such as a solution of iodide potassium in the form of local installations, as well as vanzyme or tramel C - for intake;
  2. emoxipin - an antioxidant means leading to normal microcirculation in the tissues of organs of vision, is used subcutaneously to the region of the lower eyelid;
  3. cavinton, Cinnarizin - preparations that strengthen brain vessels that improve their permeability, thereby contributing to the resumption of the correct blood circulation process.

Sometimes in certain cases, it becomes appropriate in treatment with pathological formations with the help of surgical intervention. Two ways of conducting data for manipulation actions are expected:

  • vitreolysis, which suggests the fragmentation of destructive formations Yag-laser;
  • vitrectomy, which represents the replacement of the vitreous body in full, or part of the artificial material.

Application in the treatment of turbidity of the vitreous body of the method of operational intervention has a huge risk of serious consequences. Among them:

  1. arterial hypotension;
  2. various blood flow disorders with possible hemorrhage into the brain.

For a greater degree, the residence to get rid of the pathology to the operation is not reasonable. In particular, this refers to an elderly category of humanity due to the progression of formations, as well as the increase in difficulties with diseases of the vessels.

Therapeutic measures for the treatment of this eye pathology are allowed using folk methods. Effective way Therapeutic therapy in this area is considered to use a special massage of the site eye applesWith the help of which there is an improvement in the blood flow of the fabrics of the eye organs.

A sufficiently common natural means to reduce destructive manifestations is dripping droplets in an eye corner based on:

  • honey with the addition of water in the proportion of 2: 1;
  • honey and aloe vera in equal parts;
  • propolis, diluted with water.

But it should be remembered that all therapeutic actions on getting rid of the vitreous body must be performed only under the control of specialists.


Body Body Vulture - Serious Pathology

For the purpose of holding preventive Mer To prevent the occurrence of destruction, some of the effective recommendations should be followed. These include:

  1. compliance right image life;
  2. prevention of visual overloads;
  3. use of vitamins for eyes;
  4. timely establishment of hormone levels;
  5. periodic deposit to ophthalmologist.

In modern medicine, problems in the field of the vitreous eye body associated with destructive changes are not considered particularly significant. Despite this, the number of such patients is quite large.

It is worth hoping that in the near future, scientists in ophthalmology will be able to create convenient and safe Methods Getting rid of unpleasant changes in the vitreous body of visual organs.

Flies in the eyes? What is it and how dangerous - in the video material: