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 ...
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 ...
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.
Bed rest prior to surgery in macula-on cases.
Postoperatively, if intraocular gas has been used, the patient may need specific head positioning and should not trav...
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
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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Image of the retina afflicted with proliferative diabetic retinopathy as seen through an ophthalmoscope.
Ophthalmoscopy - (A) Fundus of the eye, (B) Retinal detachment
Figure 4.44. Primary retinal detachment. A: A posterior vitreous detachment produces traction on the peripheral retina, sometimes causing tears or holes.
Figure 4.44. Primary retinal detachment. A: A posterior vitreous detachment produces traction on the peripheral retina, sometimes causing ...
Figure 4.53. Superior traction retinal detachment in a patient with proliferative diabetic retinopathy.
Figure 5.6. A: Fundus with diabetic retinopathy and neovascularization of the optic disc.
Figure 5.8. A: Cotton-wool spots located superotemporal to the optic nerve head.
Figure 5.9. A: Multiple, discrete, yellow, hard exudates in the posterior pole of an eye with background diabetic retinopathy.
Figure 5.34. Retinal hemorrhages with background diabetic retinopathy. Most intraretinal hemorrhages are dot and blot types, although a streak hemorrhage in the nerve fiber layer can be seen superotemporal to the optic disc. Multiple foci of yellow, hard exudate are also evident.
Figure 5.34. Retinal hemorrhages with background diabetic retinopathy. Most intraretinal hemorrhages are dot and blot types, although a st...