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Retinal Detachments and Tears, Sports Medicine

Giselle Aerni, MD and Robert L. Howard, MA, ATC Reviewed 04/2019
 


BASICS

DESCRIPTION

  • Retinal detachment occurs when the neurosensory layer of the retina separates from the underlying retinal pigment epithelium.

  • Three distinct classifications of retinal detachments:

    • Rhe...

DIAGNOSIS

HISTORY

  • Floaters

  • Flashes of light

  • Sudden loss of vision

  • Expanding shadow

  • Progressive peripheral visual field defect

  • May be asymptomatic

PHYSICAL EXAM

  • Visual acuity and visual field testing:

    • May be de...

TREATMENT

ISSUES FOR REFERRAL

  • Urgent ophthalmologic consultation

  • A retina specialist ultimately will need to care for the patient if retinal detachment is present.

SURGERY/OTHER PROCEDURES

  • PVD management:

    • ...

ONGOING CARE

PROGNOSIS

RRD: 
  • Pneumatic retinopexy leads to successful retinal attachment 70–80% of the time after one procedure 8[A]:

    • In cases of failure, treat with scleral buckle placement and/or vitre...

REFERENCES

1
Williams PD, Hariprasad SM. Evolving trends in primary retinal detachment repair: microincisional vitrectomy and the role of OCT. Ophthalmic Surg Lasers Imaging Retina.  2014;45(4):26...

ADDITIONAL READING

  • Lee T, Chen Y, Kuo H, et al. Retinal detachment associated with basketball-related eye trauma. Am J Ophthalmol.  2017;180:97–101.

  • Read SP, Young RC, Flynn HWJr. Outcomes in bull...

CLINICAL PEARLS

  • Concern for retinal tear or detachment should prompt urgent ophthalmology consultation.

  • Although trauma is an uncommon etiology, protective eyewear may help to prevent traumatic causes ...

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