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Retinal Detachment

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.

Fundus photo of a macula off retinal detachment.

What Is Retinal Detachment?

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.

Types of Retinal Detachment

Rhegmatogenous Retinal Detachment

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.

Tractional Retinal Detachment

This type occurs when scar tissue pulls the retina away from its normal position. It can be associated with advanced diabetic retinopathy.

Exudative Retinal Detachment

This occurs when fluid accumulates beneath the retina without a retinal tear. Potential causes include inflammation, vascular disorders, or other underlying eye conditions.

Warning Signs of Retinal Detachment

Symptoms may include:

  • A sudden increase in floaters
  • Flashes of light
  • A shadow or curtain moving across vision
  • Loss of peripheral vision
  • Sudden reduction in vision

Retinal detachment is often painless.

Anyone experiencing these symptoms should seek immediate ophthalmic evaluation.

Diagnosis

A dilated retinal examination allows the retina specialist to examine the peripheral and central retina for tears, breaks, and detachment.

Additional testing, such as ocular ultrasound or OCT, may be used when appropriate.

Retinal Detachment Treatment

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.

Retinal Detachment Care in Norfolk, VA

Prompt diagnosis and treatment are essential when retinal detachment is suspected. Patients experiencing sudden flashes, new floaters, or a curtain-like shadow in their vision should seek emergency eye care immediately.

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