Retinal Detachment, Retinal hole, Retinal Tear

Anatomy of eye,Retinal Detachment, Retinal hole, Retinal Tear

 

 

Retinal Detachment, Retinal hole, Retinal Tear are eye emergencies are require immediate evaluation by Dr. Duplessie.

What are the symptoms of a Retinal Detachment, Retinal hole, Retinal Tear ?

1) Floaters:

The appearance of floaters can be very alarming. They are shadows from debris floating inside the vitreous.vitreous floaters - cross section of eye graphic,Retinal Detachment, Retinal hole, Retinal Tear

The debris can be from the normal aging changes of the vitreous. It can also represent bleeding and even a retinal detachment.

2) Lightning Flashes:

Lightning flashes are from the vitreous tugging on the retina. The retina is stimulated by tension which results in light flashes. Flashes can be an indication of a retinal detachment

3) Decreased Vision:

Can occur secondary to bleeding inside the eye or retinal detachment. Early on, central vision may be normal but slowly some patients note a progressive “curtain, veil, or fog” which may obscure peripheral then central vision.  If you are seeing an expanding veil/cloud in your eye you need to be seen immediately.

 

Posterior Vitreous Detachment (PVD)  a cause of Retinal Detachment, Retinal hole, Retinal Tear

Most people will have a posterior vitreous detachment. It commonly happens in healthy eyes.

Additional events, which may lead to a PVD include

1) a history of eye surgery,

2) myopia

3) inflammation,

4) injury to the eye, and

5) bleeding inside the eye.

 

Do all Posterior Vitreous Detachments lead to a retinal detachment ?

For the majority of those who have a PVD, there is no danger involved.

Up to 15% of those with a symptomatic PVD have an associated retinal tear.

Up to 50% of patients with one or more risk factors and a symptomatic PVD will develop a retinal tear.

A retinal tear can lead to a retinal detachment.

retina-detachment,Retinal Detachment, Retinal hole, Retinal Tear

 

 

 

The diagnosis of a retinal tear or detachment is only made with a dilated retinal examination.

 

retina_exam,Retinal Detachment, Retinal hole, Retinal Tear

Examination of the retina

 

 

Normal Retina

 

retina,Retinal Detachment, Retinal hole, Retinal Tear

Normal Retina

 

 

Retinal Detachment, Retinal hole, Retinal Tear

 

Retinal detachment due to hemorrhage,Retinal Detachment, Retinal hole, Retinal Tear

Retinal detachment due to hemorrhage. [Black is blood]

 

 

 

retinal detachment excellent,Retinal Detachment, Retinal hole, Retinal Tear

Retina detachment. Upper area is detached.

 

 

 

 

retinal detachment -giant retinal tear,Retinal Detachment, Retinal hole, Retinal Tear

Retinal detachment -giant retinal tear [rips in retina]

 

 

 

Retinal detachment,Retinal Detachment, Retinal hole, Retinal Tear

Retinal detachment. Large hole causing complete retinal detachment

 

 

 

retinal hole -detachment,Retinal Detachment, Retinal hole, Retinal Tear

Retinal hole causing retinal detachment