Detached Retina (Retinal Detachment)

Description
The retina pulls away from the back of the eye (choroid) causing the cells of the retina to lose their blood supply. The retina is the "film" of the eye that allows light to be detected and is necessary for proper sight. The longer the retina stays detached the more likely permanent damage and permanent loss of vision will occur. Early diagnosis and treatment can save the vision of the eye. The most common causes of this disorder include: trauma, diabetes, and inflammation of the eye. Retinal detachment is more common in patients over 40, those with a family history of the disease, and in extreme near sightedness.

Symptoms
Sudden appearance of floaters (spots or strings in the field of vision), sudden flashes of light, loss of vision (described as a shadow or veil), sudden blurry vision.

Tests
A history and physical exam will be done. The provider can sometimes see the detachment of the retina with an ophthalmoscope (a special magnifying viewer). Many times the defect in the retina cannot be seen unless an ophthalmologist uses a special lens called a gonioscope.
Treatment
Treatment should be immediately obtained since the longer the retina is detached the more likely permanent loss of sight will occur. If there is an associated retinal tear this defect will need to be repaired using a laser or freezing surgery (cryoplexy). Surgery for the detachment includes: pneumatic retinoplexy, scleral buckling, or vitrectomy.


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