![]() The lifetime risk in normal eyes is about 1 in 300. Detachment is more frequent in the middle-aged or elderly population with rates of around 20 in 100,000 per year. The risk of retinal detachment in otherwise normal eyes is around 5 in 100,000 per year. Prevalence of rhegmatogenous retinal detachment ![]() 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. Ī small number of retinal detachments result from trauma, including blunt blows to the orbit, penetrating trauma, and concussions to the head. Tractional retinal detachment – A tractional retinal detachment occurs when fibrovascular tissue, caused by an injury, inflammation or neovascularization, pulls the sensory retina from the retinal pigment epithelium.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.This is the most common form of retinal detachment, affecting approximately 1 in 10,000 individuals per year. Rhegmatogenous retinal detachment – A rhegmatogenous retinal detachment occurs due to a hole or tear (both of which are referred to as retinal breaks) in the retina that allows fluid to pass from the vitreous space into the subretinal space between the sensory retina and the retinal pigment epithelium.There are 4 main types of retinal detachment: Types Tear related retinal detachment – the retina has a horseshoe-shaped defect. Ultrasound, MRI, and CT scan are commonly used to diagnose retinal detachment. Experiencing a "dark curtain" or shadow moving across the field of vision.Symptoms of retinal detachment may include: The tear allows vitreous fluid to seep through it under the retina, and peel it away like a bubble in wallpaper.Īs the retina is responsible for vision, persons experiencing a retinal detachment have vision loss. Occasionally, posterior vitreous detachment, injury or trauma to the eye or head may cause a small tear in the retina. The retina translates that focused image into neural impulses and sends them to the brain via the optic nerve. The optical system of the eye focuses light on the retina much like light is focused on the film in a camera. The retina is a thin layer of light-sensitive tissue on the back wall of the eye. Initial detachment may be localized, but without rapid treatment the entire retina may detach, leading to vision loss and blindness. Retinal detachment is a disorder of the eye in which the retina peels away from its underlying layer of support tissue. The assessment of corneal endothelium is also necessary, usually by means of a slit lamp, and sometimes with endothelial cell count.Ultrasound of a retinal detachment in a patient presenting with complete vision loss and light perception only.Ultrasound or interferometry biometry: when a cataract surgery is considered, keratometric data becomes necessary and the measurement of the axis by means of type A ultrasound or laser is used to calculate the power of the intraocular lens that the patient will need.In some patients, it may be necessary to complete the study with this test in order to rule out other retinal diseases. A macular OCT to confirm the diagnosis, determine the size and shape of the macular hole, rule out a cystoid macular oedema and assess the status of the different retinal layers.It is also very important to rule out vitreous inflammation and examine the retina in depth. A macular study of the retina, paying special attention to the macula in order to determine the extent of the hole.A biomicroscopy under pupil dilation, with direct lighting and backlighting, in order to study the cornea, the anterior chamber, and the existence of a cataract, as well as to rule out any ocular inflammation.Distant and near vision, pupil examination and refraction.Personal history: drugs, trauma, systemic diseases and eye diseases.This is performed in an only procedure in order to avoid the need to perform a second intervention later in time. In patients who also suffer from a cataract, a combined surgery consisting in cataract extraction and macular hole surgery is recommended. If that’s the case, both problems would need to be treated.īefore solving the macular hole, we need to assess the degree of cataract of the patient. Determine whether any of the above-mentioned causes is responsible for the macular hole.
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