Retinal detachment is a common cause of visual loss where the retina is separated from the underlying eye wall. Retinal detachments occur in approximately 1 in 10,000 individuals. They are more likely to occur in individuals with predisposing risk factors, such as previous trauma or eye surgery, a high degree of near-sightedness (high myopia), or in eyes that have predisposing lesions in the peripheral retina such as lattice degeneration, or thinning of the peripheral retina like stretched out pizza dough.
Retinal detachment is a serious eye condition that occurs when the retina separates from the underlying tissue that supports it.
When the retina becomes detached, it may no longer function properly, potentially leading to permanent vision loss without prompt treatment.
A retinal detachment is a medical emergency and requires immediate evaluation.
This is the most common type. It occurs when a retinal tear or break allows fluid to pass beneath the retina, causing it to separate from the underlying tissue.
This type occurs when scar tissue pulls the retina away from its normal position. It can be associated with advanced diabetic retinopathy.
This occurs when fluid accumulates beneath the retina without a retinal tear. Potential causes include inflammation, vascular disorders, or other underlying eye conditions.
Symptoms may include:
Retinal detachment is often painless.
Anyone experiencing these symptoms should seek immediate ophthalmic evaluation.
Treatment depends on the type, location, and extent of the detachment.
Procedures may include:
Pneumatic Retinopexy: A gas bubble is placed inside the eye to help reposition the retina, typically combined with laser or freezing treatment.
Scleral Buckle: A silicone band is positioned around the eye to support the retina and reduce traction.
Vitrectomy: The vitreous is removed, and the retina is repaired using techniques that may include laser treatment and a gas bubble or silicone oil.
The timing and type of surgery depend on the individual condition.