Retinal Detachment

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Retinal Detachment

What is a Retinal Detachment?

The retina is a thin layer of light-sensitive nerve tissue that lines the back of your eye. When light passes through the natural lens of the eye, it is focused on the retina. These specialized cells convert light into electrical impulses that are transmitted to the brain along your optic nerve. Your brain interprets these electrical signals and forms a visual image that you can identify. 

A retinal detachment is when the retina pulls away from its normal position at the back of the eye. When this occurs the blood vessels in the back of the eye are deprived of oxygen and nourishment. If a retinal detachment is left untreated, the retinal cells can die, and vision loss in the affected eye can become permanent. 

Symptoms

Contact your eyecare specialist immediately if you are experiencing any of the following symptoms:

  • Sudden and dramatic increase in floaters
  • Flashes of light in one or both eyes
  • Blurred vision 
  • Gradually reduced side (peripheral) vision
  • A curtain-like shadow or spider web appearance that obstructs your vision completely or partially

Causes of a Retinal Detachment

  • High myopia or significant nearsightedness
  • Trauma
  • Inflammatory or infectious conditions of the eye
  • Age-related separating of the vitreous which causes tugging on the retina leading to a detachment or a tear. Once a break or tear occurs and fluid in the eye seeps behind the tear or break this creates a detachment. 
  • You are also at a higher risk of retinal detachment following cataract surgery. 

Diagnosing a Retinal Detachment

Diagnosing a retinal detachment requires a dilated exam with our specialists. 

Treatment

Treating a retinal detachment requires surgical intervention. These interventions include several techniques to repair the area that has become detached. Our specialists may opt to do laser pneumatic retinopexy, where a gas bubble will be placed in the eye to push the retina back in place. Surgical interventions may also include a vitrectomy to prevent further tugging on the retina. A vitrectomy is the removal of some or all of the vitreous from the middle of your eye; a gas bubble or silicone oil may be put in place of the vitreous while the retina heals.

Sources: American Academy of Ophthalmology, Medline Plus, National Eye Institute, and Krames

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