Vitreous Tug Syndrome

Vitreous Tug Syndrome (Vitreous Wick Syndrome) 1307

General: Vitreous strand passes through the pupillary space and becomes attached or incarcerated in a corneal wound either posttraumatic or after intraocular surgery (see Irvine Syndrome); associated with endophthalmitis.

Ocular: Sensation of light flashes due to vitreous pull on the retina; irregular pupil; vitreous strands passing through pupil to attach to corneal wound or scar; loss of foveal reflex on ophthalmoscopic examination; circumscribed retinal edema; occasional posterior retinal detachment.

Clinical: None.

Irvine SR. Newly defined syndrome following cataract surgery; interpreted according to recent concepts of structure of vitreous: seventh Francis P. Proctor lecture. Am J Ophthalmol 1953; 36:599.

Maxwell DP Jr, et al. Surgical wound defects associated with endophthalmitis. Ophthalmic Surg 1994; 25:157-161.

Ruiz RS, van Teeters W. A late complication following cataract extraction. Am J Ophthalmol 1970; 70:483.

Stainer GA, Binder PS. Vitreous wick syndrome following a corneal relaxing incision. Ophthalmic Surg 1981; 12: 567-570.