title: Three-dimensional depiction of the vitreous pocket using triamcinolone acetonide.
abstract: OBJECTIVE
  To clarify the three-dimensional morphology of the vitreous pocket by direct injection of triamcinolone acetonide (TA) into the vitreous pocket.
  
  
  METHODS
  Ten eyes of 10 subjects with incomplete posterior vitreous detachment (PVD) were studied. During vitreous surgery, TA was directly injected into the vitreous pocket. A 25-G cutter was then inserted into the vitreous pocket and TA was removed by aspiration. The anterior surface of the vitreous pocket was removed with the 25-G cutter, and the posterior side of the vitreous pocket was observed.
  
  
  RESULTS
  Injecting TA allowed visualization of the circular vitreous pocket located anterior to the optic disk and macular area in all 10 eyes. The surface of the anterior border had a bright appearance. In 2 eyes without PVD, the posterior side of the vitreous pocket was depicted as a flat plate-like structure encompassing the macular region and the optic disc. In 8 eyes with partial PVD around the optic disc, a larger flat plate with the macula as the center and a smaller plate with the optic disc as the center were observed.
  
  
  CONCLUSIONS
  The vitreous pocket is a disc-shaped liquefied lacuna spreading anterior to the optic disc and macular region, which is surrounded by a dense network of fibrils. In patients with partial PVD around the optic disc, the posterior wall was visualized as being composed of two plate-like structures with the macula and the optic disc at their centers.
authors.affiliation: Department of Ophthalmology, School of Medicine, Nihon University, Tokyo - Japan. sshimada@olive.ocn.ne.jp
authors.forename: Hiroyuki
authors.initials: H
authors.lastname: Shimada
authors.forename: Hiroyuki
authors.initials: H
authors.lastname: Nakashizuka
authors.forename: Takayuki
authors.initials: T
authors.lastname: Hattori
authors.forename: Ryusaburo
authors.initials: R
authors.lastname: Mori
authors.forename: Yoshihiro
authors.initials: Y
authors.lastname: Mizutani
authors.forename: Mitsuko
authors.initials: M
authors.lastname: Yuzawa
mesh_terms: D000368:Aged; D005260:Female; D005938:Glucocorticoids; D006801:Humans; D021621:Imaging, Three-Dimensional; D008297:Male; D008875:Middle Aged; D012167:Retinal Perforations / Q000601:surgery; D012170:Retinal Vein Occlusion / Q000601:surgery; D014222:Triamcinolone Acetonide; D014821:Vitrectomy; D014822:Vitreous Body / Q000473:pathology*; D020255:Vitreous Detachment / Q000175:diagnosis*
chemical_list: D005938:Glucocorticoids; D014222:Triamcinolone Acetonide