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Retinal DetachmentTearsScleral BucklingVitrectomySilicone OilsVitreoretinopathy, ProliferativeRetinal PerforationsVitreous BodyVitreous DetachmentVisual AcuityVitreous HemorrhageUveal DiseasesEye DiseasesEndotamponadeFundus OculiRetinaRetinal DiseasesEpiretinal MembraneFluorescein AngiographyEye Injuries, PenetratingEye InjuriesOphthalmologic Surgical ProceduresPhotoreceptor Cells, VertebrateColobomaRotator CuffExudates and TransudatesSubretinal FluidLight CoagulationPigment Epithelium of EyeCataract ExtractionMacula LuteaMyopiaLaser CoagulationChoroid DiseasesCryotherapyChoroid NeoplasmsInjections, IntraocularScleral DiseasesCryosurgeryRetinal HemorrhageInjectionsChoroidPostoperative ComplicationsPseudophakiaEye Diseases, HereditaryScleraFluorocarbonsPosterior Eye SegmentTomography, Optical CoherenceTendon InjuriesEye Foreign BodiesLaser TherapyEye EnucleationSulfur HexafluorideRetinal Necrosis Syndrome, AcuteLens SubluxationCataractRetinopathy of PrematurityRetinoschisisBody FluidsCentral Serous ChorioretinopathyPhacoemulsificationRetrospective StudiesMyopia, DegenerativeRetinal DegenerationIodatesEye EviscerationArthroscopyDiabetic RetinopathyRetinal NeovascularizationChoroiditisFollow-Up StudiesElectroretinographyMenisci, TibialFluorescent Antibody Technique, IndirectIntraoperative ComplicationsLens Implantation, IntraocularTreatment OutcomeCurrent Procedural TerminologyRats, Inbred BNEye ProteinsRetinal Pigment EpitheliumScleritisRabbitsBinomial DistributionAphakia, PostcataractIntravitreal InjectionsGlial Fibrillary Acidic ProteinPostoperative PeriodOphthalmoscopySuture TechniquesEndophthalmitisConjunctivaRetinal TelangiectasisLenses, IntraocularDisease Models, AnimalNeurogliaTherapeutic OcclusionArgonEye
MyopiaPosteriorHemorrhagePigmentFloatersSmall retinalHolesMaculaLead to retinal detachmentTypes of retinal detachmentFluidPrevent retinal detachmentOccursCheck for retinal tearsGiant retinal tearPeripheral retinal tearsCataractsVitrectomyOcclusionCauses retinalCataract surgeryTreat retinalProliferative vitreoretinopathyDiagnose retinalCause retinalSerousDisordersBlindnessBlood vesselsIntraocularOccurScleralTraction on the retinaDiabeticMyopicTreatmentPhotocoagulationMacular HoleRiskRetina in placeAppointmentDefectsTraumaOphthalmology
Myopia4
  • Retinal detachment is more common in those with severe myopia (above 5-6 diopters), as their eyes are longer, their retina is thinner, and they more frequently have lattice degeneration. (wikipedia.org)
  • Myopia is associated with 67% of retinal detachment cases. (wikipedia.org)
  • Patients with a detachment related to myopia tend to be younger than non-myopic detachment patients. (wikipedia.org)
  • 9 People with high myopia have longer eyes (axial elongation), which means that the retina is more stretched and therefore prone to peripheral retinal tears. (cehjournal.org)
Posterior17
  • What Is Posterior Vitreous Detachment? (clevelandclinic.org)
  • Is Posterior Vitreous Detachment a Serious Eye Problem? (clevelandclinic.org)
  • Posterior vitreous detachment is quite a mouthful (and sounds a bit scary). (clevelandclinic.org)
  • The flashes and floaters generally subside within one to three months, and 85% of people with posterior vitreous detachment experience no further problems. (clevelandclinic.org)
  • Who's at risk of posterior vitreous detachment? (clevelandclinic.org)
  • Occasionally, posterior vitreous detachment, injury or trauma to the eye or head may cause a small tear in the retina. (wikipedia.org)
  • A retinal detachment is commonly but not always preceded by a posterior vitreous detachment which gives rise to these symptoms: flashes of light (photopsia) - very brief in the extreme peripheral (outside of center) part of vision a sudden dramatic increase in the number of floaters Sometimes a detachment may be due to atrophic retinal holes in which case it may not be preceded by photopsia or floaters. (wikipedia.org)
  • Retinal tears complicating the course of a posterior vitreous detachment (PVD) may be unique or multiple, and when multiple they may occur simultaneously or subsequently at different moments in the evolution of a PVD. (biomedcentral.com)
  • Posterior vitreous detachment (PVD) represents most frequently the end-stage of an age-related progressive degenerative process of the vitreous body [ 1 ]. (biomedcentral.com)
  • Anomalous posterior extension of the vitreous base and anomalies in its posterior border configuration may constitute risk factors for the development of a retinal tear/s as the consequence of vitreoretinal tractions exerted in the course of a PVD [ 5 , 6 , 7 ]. (biomedcentral.com)
  • Complicated retinal detachments with severe posterior and anterior proliferative vitreoretinopathy (PVR) were included in this study. (springer.com)
  • The usual pathological sequence that results in retinal detachment is vitreous liquefaction followed by a posterior vitreous detachment (PVD), which in turn causes retinal tears at the sites of significant vitreoretinal adhesions (Figure 1). (aao.org)
  • Posterior vitreous detachment (PVD) usually occurs as an acute event after liquefaction of the vitreous gel reaches a critical degree. (aao.org)
  • Posterior vitreous detachment (PVD) occurs when a dehiscence in the vitreous cortex allows fluid from a syneretic cavity to enter the potential subhyaloid space, causing the remaining hyaloid face to be stripped from the internal limiting membrane (ILM) of the retina (Fig 10-7). (aao.org)
  • Figure 10-7 Gross photograph showing a posterior vitreous detachment. (aao.org)
  • Detachment of the posterior hyaloid from the pericentral retina exerts anterior traction on the foveola and localizes the dynamic vitreous traction associated with ocular rotations into the perifoveolar region. (aao.org)
  • Benign conditions of the vitreous (ie, posterior vitreous detachment) or peripheral retina (ie, paving stone degeneration, lattice degeneration, etc.) are permitted. (who.int)
Hemorrhage4
  • Features of true detachments can include fluid, hemorrhage, and/or inflammatory or neoplastic cells in the subretinal space, as well as secondary degeneration of the detached retina (especially the rod and cone photoreceptors) and reactive RPE hypertrophy and/or hyperplasia. (nih.gov)
  • PVD is important in the pathogenesis of many conditions, including retinal tears and detachment, macular hole formation, and vitreous hemorrhage. (aao.org)
  • 2. Presence of macular fibrosis or retinal epithelial tear, clinically relevant myopic degeneration, or vitreous hemorrhage a. (who.int)
  • Subretinal hemorrhage of the right eye, under the fovea and inferior to the optic disc, with peripheral areas of retinal whitening. (medscape.com)
Pigment8
Floaters10
  • While floaters are a natural part of aging and are not always a sign of a detached their sudden onset, number and frequency indicate a need to check retinal detachment. (preventblindness.org)
  • Symptoms of these retinal conditions may include seeing flashes or floaters, sudden blurry vision, and seeing an area of dark vision. (wallaceopticians.com)
  • If the tear is along a blood vessel of the retina, bleeding into the vitreous gel may result, causing a shower of floaters and/or flashes. (retinaldocs.com)
  • Vitreous detachments are pretty common," says professor of ophthalmology at Cleveland Clinic Lerner College of Medicine Rishi P. Singh, MD . "When you see these new floaters, it's best to have them evaluated and, specifically, to have a dilated eye examination performed by an ophthalmologist. (clevelandclinic.org)
  • But both vitreous and retinal detachment can cause a spike in flashes and floaters , so it's hard to distinguish between the two. (clevelandclinic.org)
  • The biggest signs for concern of a retinal tear or detachment are a black cloud or veil in your vision, which you cannot see through, persistent flashing lights or a shower of floaters. (clevelandclinic.org)
  • citation needed] Symptoms of retinal detachment may include: Floaters suddenly appearing in the eye Flashes of light in vision Experiencing a "dark curtain" or shadow moving across the field of vision Sudden blurred vision Ultrasound, MRI, and CT scan are commonly used to diagnose retinal detachment. (wikipedia.org)
  • The effects of the tearing may cause visual disturbances such as dark floaters or flashing lights. (cochrane.org)
  • This therapy is of value in the management of retinal tears associated with the symptoms of flashes and floaters and persistent vitreous traction upon the retina in the region of the retinal break, because such symptomatic retinal tears are associated with a high rate of progression to retinal detachment. (cochrane.org)
  • Floaters and flashes are sometimes associated with retinal tears. (houstoneye.com)
Small retinal4
  • Laser photocoagulation is helpful in repairing small retinal tears. (preventblindness.org)
  • Laser surgery - Retinal tears that have not progressed to a detachment, or a small retinal detachment, can be treated with laser to 'wall-off' or 'barricade' the tear from the healthy. (qei.org.au)
  • Pneumatic retinopexy - in specific types of small retinal detachments, a gas bubble and laser in clinic can be used to either help repair the retina or temporary protect the retina until further surgery. (qei.org.au)
  • A dilated eye exam can help your eye doctor find a small retinal tear or detachment early, before it starts to affect your vision. (nih.gov)
Holes7
  • The main goal of treatment is to re-attach the retina, and to seal all tears or holes that caused the retinal detachment. (qei.org.au)
  • Other retinal diseases include blood vessel obstruction, diabetic eye disease, epiretinal membranes, and macular holes. (eyemax.sg)
  • We reviewed the evidence about whether treatment of retinal breaks (holes or tears in the retina) and retinal lattice degeneration (thinning and atrophy of retinal tissue) can prevent retinal detachment, a serious vision-threatening problem. (cochrane.org)
  • There is no evidence to demonstrate the effectiveness of prophylactic therapy for asymptomatic tears or holes in the retina. (cochrane.org)
  • Retinal tears and holes unassociated with acute symptoms and lattice degeneration are significantly less likely to be the sites of retinal breaks that are responsible for later retinal detachment. (cochrane.org)
  • Retinal breaks are traditionally classified as holes, tears, or dialyses. (aao.org)
  • Retinal holes are full-thickness retinal defects that are typically not associated with persistent vitreoretinal traction in their vicinity. (aao.org)
Macula4
  • Various factors are involved, including whether you have had cataract surgery or not, and whether your macula has been involved in the detachment or not. (qei.org.au)
  • This type of PED can be linked to retinal detachment that happens in the macula , in the middle of the retina. (aao.org)
  • Occasionally, traction may occur on the peripheral retina, perifoveal macula, or retinal blood vessels as a PVD occurs. (aao.org)
  • Optical coherence tomography (OCT) of the right macula revealed detachment of the inner neurosensory retina with hyperreflective material in the subretinal space (Figure 2). (medscape.com)
Lead to retinal detachment4
Types of retinal detachment1
  • There are 3 types of retinal detachment: rhegmatogenous, tractional, and exudative. (nih.gov)
Fluid11
  • Once there is a tear, vitreous fluid can seep between the retina and the back wall of the eye, causing the retina to pull away or detach. (preventblindness.org)
  • To repair actual retinal detachments, fluid must be drained from under the retina to minimize the space between it and the eye wall. (preventblindness.org)
  • Retinal tears pose a significant threat because fluid can enter through the tear under the retina, causing retinal detachment. (retinaldocs.com)
  • The tear allows vitreous fluid to seep through it under the retina, and peel it away like a bubble in wallpaper. (wikipedia.org)
  • Exudative, serous, or secondary retinal detachment - An exudative retinal detachment occurs due to inflammation, injury or vascular abnormalities that results in fluid accumulating underneath the retina without the presence of a hole, tear, or break. (wikipedia.org)
  • Laser therapy or cryotherapy (freezing), or both, are often used with the goal of eliminating the fluid and space between retinal layers. (cochrane.org)
  • The essential requirements for a rhegmatogenous retinal detachment include a retinal break (rhegma = rent or rupture) and vitreous liquefaction sufficient to allow fluid in the vitreous cavity to pass through the break(s) into the subretinal space. (aao.org)
  • However, the combination of retinal breaks, vitreous liquefaction and detachment, traction on the retina (vitreoretinal traction), and intraocular fluid currents associated with movement of liquid vitreous and subretinal fluid can overwhelm these "attachment factors," causing retinal detachment. (aao.org)
  • This is due to a combination of retinal breaks, vitreous changes inducing a retinal break and vitreoretinal traction, and intraocular fluid currents. (aao.org)
  • Rhegmatogenous retinal detachment (RRD) occurs when vitreous traction and fluid currents resulting from eye movements combine to overcome the forces maintaining retinal adhesion to the RPE. (aao.org)
  • Blood samples, eye fluid, and tears will be taken at multiple timepoints to understand how the body responds to treatment. (who.int)
Prevent retinal detachment3
Occurs5
  • Retinal vein occlusion occurs when there is a blockage of the small veins that carry blood away from the retina. (parkcitymedicalcentre.com)
  • A retinal tear occurs when the vitreous gel, which fills the inside of the eye, pulls away from the retina, creating a tear. (retinaldocs.com)
  • citation needed] Although retinal detachment usually occurs in one eye, there is a 15% chance of developing it in the other eye, and this risk increases to 25-30% in patients who have had cataracts extracted from both eyes. (wikipedia.org)
  • As noted above, retinal detachment occurs when the combination of factors that promote retinal detachment overwhelms the normal attachment forces. (aao.org)
  • Vitreous detachment generally occurs rapidly over the course of a few hours to days. (aao.org)
Check for retinal tears2
  • A careful, dilated, examination of the eye is required to check for retinal tears or detachment. (qei.org.au)
  • The doctor may press on your eyelids to check for retinal tears, which may be uncomfortable for some people. (nih.gov)
Giant retinal tear1
Peripheral retinal tears1
Cataracts1
Vitrectomy3
Occlusion10
Causes retinal1
Cataract surgery3
Treat retinal1
Proliferative vitreoretinopathy2
  • Machemer R, Aaberg TM, Freeman HM, Irvine AR, Lean JS, Michels RM (1991) An updated classification of retinal detachment with proliferative vitreoretinopathy. (springer.com)
  • Garweg JG, Tappeiner C, Halberstadt M. Pathophysiology of proliferative vitreoretinopathy in retinal detachment. (aao.org)
Diagnose retinal1
Cause retinal2
Serous1
Disorders2
  • Retinal disorders mainly affect individuals above the age of 60 although there are incidences of younger people being affected as well. (eyemax.sg)
  • Indirect viewing and treatment of peripheral retinal disorders. (volk.com)
Blindness3
  • Initial detachment may be localized, but without rapid treatment the entire retina may detach, leading to vision loss and blindness. (wikipedia.org)
  • If the retinal detachment isn't treated right away, more of the retina can detach - which increases the risk of permanent vision loss or blindness. (nih.gov)
  • SUMMARYGlaucoma is a leading cause of irreversible blindness worldwide, caused by the gradual degeneration of retinal ganglion cells and their axons. (bvsalud.org)
Blood vessels2
  • Pan-retinal photocoagulation therapy - A patient will need this if he grows new blood vessels in his eye. (parkcitymedicalcentre.com)
  • During retinal laser therapy, a laser is directed at the bleeding blood vessels or retinal tear to heat up the tissue and then seal it. (eyemax.sg)
Intraocular1
  • Jonas JB, Budde WM, Knorr HL (1999) Timing of retinal redetachment after removal of intraocular silicone oil tamponade. (springer.com)
Occur4
  • Tractional retinal detachments can also occur in patients with proliferative diabetic retinopathy or those with proliferative retinopathy of sickle cell disease. (wikipedia.org)
  • Spontaneous detachments of uncertain etiology can also occur sporadically in rats and mice. (nih.gov)
  • Dialyses are circumferential retinal breaks that occur at the ora serrata. (aao.org)
  • Tears are most likely to occur at sites of greatest vitreoretinal adhesion, such as the vitreous base (Fig 10-8) or the margin of lattice degeneration. (aao.org)
Scleral5
  • Can I get a scleral buckle taken off after retinal detachment? (healthtap.com)
  • the first was the scleral buckle then it tore from traction due to scar tissue. (healthtap.com)
  • I have a permenetly dilated eye (5mm), 6 weeks after retinal detachment surgery taht included a scleral buckle and an oil filled vitretcomy. (healthtap.com)
  • Scleral buckling is an ophthalmic surgical technique that has been successfully employed as a primary or adjuvant procedure to repair rhegmatogenous retinal detachments for over 60 years. (aao.org)
  • Although considerable debate persists regarding the optimal form of treatment for many types of retinal detachments, scleral buckling is declining in popularity, particularly in regard to pseudophakic cases. (aao.org)
Traction on the retina1
  • Retinal tears (breaks) are often the result of vitreous traction on the retina during or after a PVD or secondary to ocular trauma. (aao.org)
Diabetic2
  • There have also been advancements in retinal laser technology for the treatment of diabetic eye disease, retinal tears, and other conditions. (eyemax.sg)
  • In recent years, surgical treatment of retinal detachment, vitreous haemorrhages, and severe diabetic eye disease has also improved. (eyemax.sg)
Myopic1
  • In addition, myopic eyes have a degenerate vitreous that is more likely to collapse and separate from the retina, also increasing the risk of retinal tears. (cehjournal.org)
Treatment9
  • If your retina is only torn, prompt treatment may prevent detachment. (preventblindness.org)
  • Your eye surgeon will discuss the various methods of repair and suggest the best treatment based on the severity of the tear or detachment. (preventblindness.org)
  • The ophthalmologists at Philadelphia Retina Associates offer the most innovative treatment methods to correct retinal tears and/or detachment. (retinaldocs.com)
  • If you have a patient who may require treatment for a retinal tear or detachment, please call us or use our secure patient referral form. (retinaldocs.com)
  • Gonvers M (1983) Temporary use of silicone oil in the treatment of special cases of retinal detachment. (springer.com)
  • This review was designed to include randomized controlled trials in which one treatment for asymptomatic retinal breaks and lattice degeneration was compared with another treatment or no treatment. (cochrane.org)
  • Retinal detachment can cause permanent vision loss - but getting treatment right away can help protect your vision. (nih.gov)
  • What's the treatment for retinal detachment? (nih.gov)
  • Depending on how much of your retina is detached and what type of retinal detachment you have, your eye doctor may recommend laser surgery, freezing treatment, or other types of surgery to fix any tears or breaks in your retina and reattach your retina to the back of your eye. (nih.gov)
Photocoagulation1
  • Creation of an adhesion surrounding retinal breaks and lattice degeneration, with laser photocoagulation or cryotherapy, has been recommended as an effective means of preventing retinal detachment. (cochrane.org)
Macular Hole1
  • Localized perifoveal vitreous detachment (an early stage of age-related PVD) appears to be the primary pathogenetic event in idiopathic macular hole formation (Fig 10-10). (aao.org)
Risk15
  • Who is at Risk for Retinal Tears and Detachments? (preventblindness.org)
  • The most common risk factor for a retinal tear is getting older. (qei.org.au)
  • The risk of retinal detachment in otherwise normal eyes is around 5 in 100,000 per year. (wikipedia.org)
  • The purpose of our study was to analyze the prevalence of subsequent retinal tears (SRT) in patients with a PVD, and to identify possible risk factors for SRT. (biomedcentral.com)
  • The purpose of our study was to analyze the prevalence of subsequent retinal tears (SRT) in patients that developed retinal tears in the course of a PVD and to identify possible predisposing risk factors for their occurrence. (biomedcentral.com)
  • Risk factors for retinal detachment: a case-control study. (cdc.gov)
  • Objective: The aim of this study was to investigate risk factors for retinal detachment or tear (RD/T), and follow up two studies that found increased risk from work-related heavy lifting. (cdc.gov)
  • Asymptomatic retinal breaks and lattice degeneration are visible lesions that are risk factors for later retinal detachment. (cochrane.org)
  • Why are patients still at lifelong risk of retinal detachment after surgery? (healthtap.com)
  • Am I at risk for retinal detachment? (nih.gov)
  • Anyone can have a retinal detachment, but some people are at higher risk. (nih.gov)
  • If you're concerned about your risk for retinal detachment, talk with your eye doctor. (nih.gov)
  • But you can lower your risk of retinal detachment from an eye injury by wearing safety goggles or other protective eye gear when doing risky activities, like playing sports. (nih.gov)
  • Major risk factors have in common an increased incidence of retinal break(s), vitreous liquification and detachment, and abnormal vitreoretinal adhesions. (aao.org)
  • Parents should be informed of the risk of retinal detachment and the importance of immediate medical assessment if there is any change in the vision status of the child. (chargesyndrome.org)
Retina in place1
Appointment1
  • For more information about retinal tears and detachment, call Philadelphia Retina Associates at (215) 335-3088 or request an appointment now. (retinaldocs.com)
Defects1
Trauma3
  • citation needed] Combined traction-rhegmatogenous A small number of retinal detachments result from trauma, including blunt blows to the orbit, penetrating trauma, and concussions to the head. (wikipedia.org)
  • A retrospective Indian study of more than 500 cases of rhegmatogenous detachments found that 11% were due to trauma, and that gradual onset was the norm, with over 50% presenting more than one month after the inciting injury. (wikipedia.org)
  • All ocular conditions that are associated with an increased prevalence of vitreous liquefaction and PVD or with an increased number or extent of vitreoretinal adhesions are associated with a higher incidence of retinal detachment, including trauma. (aao.org)
Ophthalmology1
  • One hundred and seventy-six eyes in 158 consecutive patients that presented one or more retinal tears in the evolution of a PVD, evaluated in the department of ophthalmology at a university hospital and followed for at least 12 months, were retrospectively analyzed and eligible for inclusion. (biomedcentral.com)