Vitrectomy
Vitreous humour is
the clear substance that fills the part of
the eyeball lying between the lens and the
retina. It is 99.98% water, and the water
and salts within the vitreous are in constant
exchange with the aqueous. The vitreous humour
contains microscopic fibres embedded within
a gel. Because of this microstructure, it
is only possible to remove the vitreous by
cutting it up into small pieces before sucking
it out of the eye.
The collagen fibres
of the vitreous are held apart by electrical
charge. With ageing these charges tend to
reduce, and the fibres may clump together.
Similarly the gel may liquify (syneresis),
leading to vacuoles within the vitreous. These
commonly lead to floaters. Floaters are small,
generally harmless, defects in the vitreous
humour. The sudden onset of floaters may signify
a posterior vitreous detachment, PVD, or other
disease and should be investigated immediately
by a healthcare professional.