Posterior Vitreous Detachment and Retinal Tear

NR is a 52-year-old moderately myopic man who noted the onset of flashes of light several weeks prior to presentation at his ophthalmologist’s office. He experienced numerous little black floaters and clouding of his vision in the left eye on the morning of the consultation. Examination found vision 20/20 OD and 20/100 OS. Fundus examination was normal in the right eye and no fundus detail could be observed in the left because of a moderately dense vitreous hemorrhage. The patient was advised to stop taking aspirin products, minimize physical activity, and return for follow-up in 2 weeks. However, he was very bothered by the lack of vision in his left eye and sought a second opinion from a retinal specialist.