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Retinal Detachment

Richard W. Allinson, MD Reviewed 06/2018
 


BASICS

DESCRIPTION

  • Separation of the sensory retina from the underlying retinal pigment epithelium

  • Rhegmatogenous retinal detachment (RRD): most common type; occurs when the fluid vitreous gains access ...

DIAGNOSIS

HISTORY

  • Sudden flashes (photopsia)

  • Shower of floaters

  • Visual field loss: “curtain coming across vision”

  • Central vision will be preserved if the macula is not detached.

  • Poor visual acuity (20/200 ...

TREATMENT

GENERAL MEASURES

  • Not all retinal tears or breaks need to be treated:

    • Flap or horseshoe tears in symptomatic patients (e.g., patients with flashes or floaters) are treated frequently.

    • Opercula...

ONGOING CARE

FOLLOW UP RECOMMENDATIONS

  • Bed rest prior to surgery

  • Postoperatively, if intraocular gas has been used, the patient may need specific head positioning and should not travel to high altitudes...

REFERENCES

1
de Jong JH, Vigueras-Guillén JP, Simon TC, et al. Preoperative posturing of patients with macula-on retinal detachment reduces progression toward the fovea. Ophthalmology.  2017;124(1...

SEE ALSO

Retinopathy, Diabetic 

CODES

ICD10

  • H33.001 Unspecified retinal detachment with retinal break, right eye

  • H33.019 Retinal detachment with single break, unspecified eye

  • H33.20 Serous retinal detachment, unspecified eye

  • H33.40 Trac...

CLINICAL PEARLS

  • If a patient complains of the new onset of floaters or flashes of light, the patient should undergo a dilated eye exam to rule out a retinal tear or retinal detachment.

  • There is an incr...

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