Symptomatic Vitreous Opacities: Exploring the Mismatch between Clinical Observation of Vitreous Alterations and Self-Reported Symptoms Article Swipe
Giulio Bamonte
,
Clemente Maria Iodice
,
Rodolfo Mastropasqua
,
Elon H. C. van Dijk
,
Andrea Appeltans
,
Maria Vittoria Cicinelli
,
Matteo Menean
,
Marcel Ten Tusscher
,
Stuart Harmer
,
Paola Marolo
,
Enrico Borrelli
,
Michele Reibaldi
,
Georgios D. Panos
,
Lorenzo Motta
·
YOU?
·
· 2024
· Open Access
·
· DOI: https://doi.org/10.3390/jcm13206052
YOU?
·
· 2024
· Open Access
·
· DOI: https://doi.org/10.3390/jcm13206052
Objectives: To assess the mismatch between the clinical observation of vitreous alterations and self-reported symptoms in young patients complaining of symptomatic vitreous opacities (SVO). Methods: The ophthalmic medical records of young patients presenting primarily with SVO were retrospectively evaluated. Symptoms severity was assessed using a questionnaire. The status of the vitreous body was examined with indirect ophthalmoscopy at the slit-lamp and classified according to an ad hoc severity scale. Results: Sixty eyes of thirty otherwise healthy patients (median age: 32.5 (IQR: 29.0–37.0) years old) complaining of SVO (median duration: 38 months; interquartile range: 18–84 months) were enrolled. SVO was rated as severe by 50% of participants, affecting all the activities explored in the questionnaire. Twenty-three patients (76.6%) reported SVO-related depression and/or anxiety, for which eleven patients (36.6%) were or had been using medication. Fifty-eight eyes (96.6%) showed no evidence of (or minimal) vitreous opacity, while two eyes (3.3%) were found to have significant vitreous opacity. No significant inter-gender differences (p > 0.05) and no significant differences (p > 0.05) were found between the severity of vitreous opacity and patients’ reported symptoms nor with their psychological status and medication use. Conclusions: Severe discomfort related to the perception of vitreous floaters exists in young patients whose vitreous gel examination is unremarkable or shows only minor alterations. We believe this discrepancy can be explained by optical anisotropy; significant forward-scattering of light, which results in floater symptoms; and reduced back reflection, which limits the clinical observation.
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Metadata
- Type
- article
- Language
- en
- Landing Page
- https://doi.org/10.3390/jcm13206052
- OA Status
- gold
- Cited By
- 1
- References
- 28
- Related Works
- 10
- OpenAlex ID
- https://openalex.org/W4403335646
All OpenAlex metadata
Raw OpenAlex JSON
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https://openalex.org/W4403335646Canonical identifier for this work in OpenAlex
- DOI
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https://doi.org/10.3390/jcm13206052Digital Object Identifier
- Title
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Symptomatic Vitreous Opacities: Exploring the Mismatch between Clinical Observation of Vitreous Alterations and Self-Reported SymptomsWork title
- Type
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articleOpenAlex work type
- Language
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enPrimary language
- Publication year
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2024Year of publication
- Publication date
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2024-10-11Full publication date if available
- Authors
-
Giulio Bamonte, Clemente Maria Iodice, Rodolfo Mastropasqua, Elon H. C. van Dijk, Andrea Appeltans, Maria Vittoria Cicinelli, Matteo Menean, Marcel Ten Tusscher, Stuart Harmer, Paola Marolo, Enrico Borrelli, Michele Reibaldi, Georgios D. Panos, Lorenzo MottaList of authors in order
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https://doi.org/10.3390/jcm13206052Publisher landing page
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YesWhether a free full text is available
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goldOpen access status per OpenAlex
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https://doi.org/10.3390/jcm13206052Direct OA link when available
- Concepts
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Medicine, Ophthalmology, Dermatology, OptometryTop concepts (fields/topics) attached by OpenAlex
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1Total citation count in OpenAlex
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2025: 1Per-year citation counts (last 5 years)
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10Other works algorithmically related by OpenAlex
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| sustainable_development_goals[0].score | 0.4399999976158142 |
| sustainable_development_goals[0].display_name | Good health and well-being |
| citation_normalized_percentile.value | 0.7056272 |
| citation_normalized_percentile.is_in_top_1_percent | False |
| citation_normalized_percentile.is_in_top_10_percent | False |