There are many causes of retinal detachment, but the most common are ageing or myopia (short sightedness). Show
Most retinal detachments happen because a tear or hole in the retina allows fluid to leak between the retinal layers, lifting the retina off the back of the eye. Changes to the eye as you age can cause tears and holes because the retina has been pulled and torn as a result of these changes. Tears mostly happen when the vitreous gel that fills the middle of the eye suddenly becomes detached from the retina (called acute posterior vitreous detachment or PVD). Most PVDs however don’t result in retinal detachment. Other eye conditions such as diabetic retinopathy can result in fibrous scar tissue forming inside the vitreous gel and on the retina’s surface. This scar tissue can then pull on the retina (traction), causing a detachment. Who is at risk for retinal detachment?While rare, retinal detachment can happen to anyone, but some people are at a higher risk. You are at a higher risk if:
If you have any of the above risk factors, you should know the warning signs and seek immediate attention if you have any of them. What are the symptoms of retinal detachment?If only a small part of your retina has detached, you may not have any symptoms. But if more of your retina is detached, you may not be able to see as clearly as normal and you may notice other symptoms including:
Many people have flashes and floaters and this is normal for their age, however, if you experience flashes or floaters for the first time, or your usual flashes and floaters change, then you should have your eyes examined immediately. How is retinal detachment diagnosed?Your ophthalmologist can diagnose retinal tear or retinal detachment during an eye examination by dilating your eyes’ pupils. An ultrasound of your eye may also be performed and can help your ophthalmologist see the exact position of your retina. How is retinal detachment treated?A retinal detachment is treated with surgery to place the retina back in its proper position. If this is not done, the retina will lose the ability to function, possibly permanently, and blindness will result. Retinal detachment surgery is individual to each case. The type of surgery will depend on the type and location of your detachment and any complicating factors, such as other eye conditions you have. Your ophthalmologist will discuss all the surgical options available and advise you on which procedure would be most advantageous for you. You should ensure you discuss these treatments thoroughly with your ophthalmologist and that you understand what is involved both in the surgery and post-surgery. Download the fact sheet What Is a Detached Retina?A detached retina is when the retina lifts away from the back of the eye. The retina does not work when it is detached, making vision blurry. A detached retina is a serious problem. An ophthalmologist needs to check it out right away, or you could lose sight in that eye. How Do You Get a Detached Retina?As we get older, the vitreous in our eyes starts to shrink and get thinner. As the eye moves, the vitreous moves around on the retina without causing problems. But sometimes the vitreous may stick to the retina and pull hard enough to tear it. When that happens, fluid can pass through the tear and lift (detach) the retina. Who Is at Risk for a Retinal Detachment?You are more likely to have a detached retina if you:
Early Signs of a Detached RetinaA detached retina has to be examined by an ophthalmologist right away. Otherwise, you could lose vision in that eye. Call an ophthalmologist immediately if you have any of these symptoms:
How Is a Detached Retina Diagnosed?Your ophthalmologist will put drops in your eye to dilate (widen) the pupil. Then they will look through a special lens to check your retina for any changes. How Is a Detached Retina Treated?Surgery is done to repair a detached retina. Here are some types of detached retina surgery: Pneumatic RetinopexyYour ophthalmologist puts a gas bubble inside your eye. This pushes the retina into place so it can heal properly. Afterwards, you will need to keep your head in a very specific position as your doctor recommends for a few days. This keeps the bubble in the right place. As your eye heals, your body makes fluid that fills the eye. Over time, this fluid replaces the gas bubble. VitrectomyYour ophthalmologist removes the vitreous pulling on the retina. The vitreous will be replaced with an air, gas, or oil bubble. The bubble pushes the retina into place so it can heal properly. If an oil bubble is used, your ophthalmologist will remove it a few months later. With an air or gas bubble, you cannot fly in an airplane, travel to high altitudes or scuba dive. This is because altitude change causes the gas to expand, increasing eye pressure. Scleral BuckleA band of rubber or soft plastic is sewn to the outside of your eyeball. It gently presses the eye inward. This helps the detached retina heal against the eye wall. You will not see the scleral buckle on the eye. It is usually left on the eye permanently. What Are the Risks of Surgery for Detached Retina?All surgery has risks of problems. But if you do not treat a detached retina, you could quickly and permanently lose your sight. Here are some of the risks of surgery for detached retina:
Your ophthalmologist will discuss these and other risks and how surgery can help you. Things to expect after surgery:
Which symptom would occur in a client with a detached retina?Symptoms include flashes of light, floaters or seeing a shadow in your vision. Floaters are dark spots and squiggles in your vision. You may experience warning signs like these before the retina detaches, as in the case of retinal tears. Retinal detachment often happens spontaneously, or suddenly.
What happens when your retina detaches?A detached retina occurs when the retina is pulled away from its normal position in the back of the eye. The retina sends visual images to the brain through the optic nerve. When detachment occurs, vision is blurred. A detached retina is a serious problem that can cause blindness unless it is treated.
What are the symptoms of a retinal tear?The most common signs and symptoms of retinal tears include:. Sudden appearance of floaters.. Black spots in field of vision.. Flashes of light.. Blurry vision.. Darker/dimmer vision.. Loss of peripheral vision.. What are the warning signs of a detached retina NHS?Detached retina (retinal detachment). dots or lines (floaters) suddenly appear in your vision or suddenly increase in number.. you get flashes of light in your vision.. you have a dark "curtain" or shadow moving across your vision.. your vision gets suddenly blurred.. |