Partial Vitrectomy in the Treatment of Asteroid Hyalosis

The article discusses the results of a comparative analysis of surgical treatment of patients with asteroid hyalosis and the presence of kataract or artificial lens. Attention is focused on the persistence or intensification of subjective discomfort caused by the presence of hyalotic bodies in the vitreous during phacoemulsification of cataracts without surgical intervention on the vitreous. The feasibility of minimally invasive subtotal posterior closed vitrectomy as part of a combined intervention for asteroid hyalosis and cataract was demonstrated. The state of the vitreomacular interface was assessed after a limited vitrectomy technique without removal of the posterior hyaloid membrane and treatment of the extreme peripheral parts of the vitreous. The importance of visual artifacts and their impact on postoperative visual acuity is shown. A scale has been developed to assess the impact of asteroid hyalosis on the quality of vision, based on the degree of subjective perception of visual discomfort.