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Howard F. Fine, MD, MHSc; Richard F. Spaide, MD

Arch Ophthalmol. 2006;124:1663.

	Since this article does not have an abstract, we have provided the first 150 words of the full text and any section headings.

The premacular bursa, a liquefied area of vitreous anterior to the macula, was first described by Worst¹ after he observed a complex system of vitreous cisterns and communicating tracts by staining the vitreous with india ink post mortem. Kishi and Shimizu² described a similar structure in fluorescein-stained autopsy eyes, which they termed the posterior precortical vitreous pocket (PPVP). However, some anatomists believed the vitreous to be amorphous in the living eye and rejected the observations of Worst as ex vivo fixation artifact.¹ The PPVP appears to be visualized with ultrasonography,³ but direct in vivo observation of this structure is lacking in the literature.

Presented herein is intraoperative documentation of the PPVP and associated communicating channels. A 30-year-old man underwent pars plana vitrectomy for an inferior macula-threatening rhegmatogenous retinal detachment. After core vitrectomy with no attempt to remove posterior vitreous, triamcinolone acetonide . . . [Full Text of this Article]

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