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Retinal Detachment

Tony Cha Her, Doctor of Medicine Reviewed 04/2024
 


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 of light (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...

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.

    • Operculate...

ONGOING CARE

FOLLOW-UP RECOMMENDATIONS

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

REFERENCES

1
Storey PP, Pancholy M, Wibbelsman TD, et al. Rhegmatogenous retinal detachment after intravitreal injection of anti-vascular endothelial growth factor. Ophthalmology. 2019;126(10):1424-143...

SEE ALSO

Retinopathy, Diabetic 

CODES

ICD10

  • H33.059 Total retinal detachment, unspecified eye

  • H33.20 Serous retinal detachment, unspecified eye

  • H33.0 Retinal detachment with retinal break

  • H33.029 Retinal detachment with multiple breaks,...

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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