Retinal Detachment

Retinal detachments occur when there is a tear or hole in the retina and fluid from inside the eye gets under the retina causing it to detach.

What is the Retina?

The retina is the light-sensitive layer of tissue that lines the inside of the eye and sends visual messages through the optic nerve to the brain. The vitreous inside the eye (see image) can pull on the retina and cause a tear. Once there is a tear, fluid can travel from inside the eye to under the retina. When the retina detaches, it is lifted or pulled from its normal position. If not promptly treated, retinal detachment can cause permanent vision loss.

What are Symptoms of Retinal Detachment?

Symptoms include a sudden or gradual increase in either the number of floaters, which are little "cobwebs" or specks that float about in your field of vision, and/or light flashes in the eye. Another symptom is the appearance of a curtain over the field of vision. A retinal detachment is a medical emergency. Anyone experiencing the symptoms of a retinal detachment should see an eye care professional immediately.

Who is at risk for retinal detachment?

A retinal detachment can occur at any age, but it is more common in people over age 40. It affects men more than women, and Whites more than African Americans.

A retinal detachment is also more likely to occur in people who:

  • Are extremely nearsighted
  • Have had a retinal detachment in the other eye
  • Have a family history of retinal detachment
  • Have had cataract surgery
  • Have other eye diseases or disorders, such as retinoschisis, uveitis, degenerative myopia, or lattice degeneration
  • Have had an eye injury

Retinal Detachment Surgery?

Small holes and tears are treated with laser surgery or a freeze treatment called cryopexy. These procedures are usually performed in the doctor's office. During laser surgery tiny burns are made around the hole to "weld" the retina back into place. Cryopexy freezes the area around the hole and helps reattach the retina.

Retinal detachments are treated with surgery that may require the patient to stay in the hospital. Some retinal detachments can be repaired with pneumatic retinopexy, an office procedure.  In some cases a scleral buckle, a tiny synthetic band, is attached to the outside of the eyeball to gently push the wall of the eye against the detached retina. If necessary, a vitrectomy may also be performed. During a vitrectomy, the doctor makes a tiny incision in the sclera (white of the eye). Next, a small instrument is placed into the eye to remove the vitreous, a gel-like substance that fills the center of the eye and helps the eye maintain a round shape. Gas is often injected to into the eye to replace the vitreous and reattach the retina; the gas pushes the retina back against the wall of the eye. During the healing process, the eye makes fluid that gradually replaces the gas and fills the eye. With all of these procedures, either laser or cryopexy is used to "weld" the retina back in place.

With modern therapy, over 90 percent of those with a retinal detachment can be successfully treated, although sometimes a second treatment is needed. However, the visual outcome is not always predictable. The final visual result may not be known for up to several months following surgery. Even under the best of circumstances, and even after multiple attempts at repair, treatment sometimes fails and vision may eventually be lost. Visual results are best if the retinal detachment is repaired before the macula (the center region of the retina responsible for fine, detailed vision) detaches. That is why it is important to contact an eye care professional immediately if you see a sudden or gradual increase in the number of floaters and/or light flashes, or a dark curtain over the field of vision.

Surgery for Retinal Detachment

Retinal Detachment NEWS

Below are current articles from a Google News Feed on Retinal Detachment

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Rhegmatogenous Retinal Detachment: Proliferative Vitreoretinopathy (PVR) Therapeutics Gain Ground
Medgadget (blog)
With the rise in emphasis on prevention and treatment of proliferative vitreoretinopathy (PVR), a complication that arises due to rhegmatogenous retinal detachment, the requirement for vitreoretinal centers has gained importance worldwide. Prevention ...

and more »

Relationships between retinal break locations and the shapes of the detachments
Dove Medical Press
Purpose: Detecting primary breaks and confirming detachment preoperatively are important. Lincoff stated that retinal detachments progress according to gravity; his law has become popular. We evaluated Lincoff's law with a slight modification to ...


The Future Gadgets

Global Retinal Detachment Hook Market 2018 – VEDENG, Geuder, Medline Industries, ASICO, Millennium Surgical
The Future Gadgets
A recent study titled Global Retinal Detachment Hook Market 2018 report by ACCORD MARKET provides fresh insights into the market including competitive landscape, Retinal Detachment Hook manufacturing technology, demand drivers, top players and ...
Global Retinal Detachment Hook Market Research Report 2018-2025 – VEDENG, Geuder, Medline Industries, ASICO ...Market Media 24

all 3 news articles »

AOP

Optometrist who intimidated patient and missed 'obvious' retinal detachment sanctioned
AOP
A Lincolnshire optometrist who failed to detect a 'barn door' retinal detachment and spoke aggressively to a patient has been erased from the General Optical Council (GOC) register. A GOC fitness to practise committee found that Paul Fontaine failed to ...


UW Medicine Newsroom (press release) (blog)

A vision exam focused on preemies
UW Medicine Newsroom (press release) (blog)
These fragile, weak vessels can bleed, which could lead to retinal scarring. When these scars shrink, they pull on the retina and cause it to detach from the back of the eye. Retinal detachment is the main cause of visual impairment and blindness in ...


University of Utah Health Care

Don't Let Diabetic Eye Disease Sneak Up on You
University of Utah Health Care
Diabetic retinal damage can also lead to bleeding in the eye, scarring, high eye pressure (glaucoma), and even retinal detachment. Diabetic retinopathy or diabetic retinal damage is a leading cause of irreversible blindness worldwide. The permanent ...

and more »

Study finds predictors of visual outcomes following vitrectomy for macular hole
Healio
All patients underwent pars plana vitrectomy (PPV) with or without internal limiting membrane peeling at Retina Consultants of Houston and were reviewed after at least 1 year of follow-up. Patients with combined retinal detachment and full-thickness ...


Risk factors for neovascular glaucoma after vitrectomy in eyes with proliferative diabetic retinopathy
Dove Medical Press
... tractional retinal detachment, diabetic macular edema, vitreous hemorrhage, combined tractional retinal detachment), intraoperative retinal tamponade use, vitrectomy gauge, combined lens extraction/vitrectomy procedure, subsequent surgical ...


Moorfields Eye Hospital Dubai Saves Patient Vision With an 'Oil Change'
Markets Insider
Moorfields Eye Hospital Dubai (Moorfields) has saved the sight of a patient by changing the silicone oil that had previously been implanted in his left eye as part of treatment undergone in Europe for a recurring retinal detachment. The patient - 40 ...

and more »

NBC 10 Philadelphia

Give Kids Sight Day Provides 'Passport' to Health Care for 1000s of Uninsured Pa. Kids
NBC 10 Philadelphia
Haller explained the serious medical programs some of these children have experienced range anywhere from glaucoma, children with crossed eyes, amblyopia and even retinal detachment. “This also enables us to put children to immediate eye care for ...

and more »

Ophthalmologist keeps his eye on preventive care
StarNewsOnline.com
Macular holes are among common problems that Cape Fear Retina handles. Others include diabetic retinopathy, retinal detachment and macular degeneration. Interested in promoting preventative care and assisting people with common retinal issues, Cape ...


News-Medical.net

RetiPharma secures funding to develop new peptide drug for treating degenerative eye disorders
News-Medical.net
The funding will be used to prepare its lead drug RP001 for a clinical proof-of-concept study in patients with retinal detachment as well as to in source additional compounds using RetiPharma's unique translational platform. RP001 is a new peptide drug ...


WBTV

Eye doctors on diabetic eye disease: 'Eyes are the windows to our health'
WBTV
Dr. Hart says it's much easier to provide preventative care and pointed out, “routine eye exams are very important just because we can see so many things that can cause retinal detachment later in life. Or many things that can sometimes be fixed a lot ...

and more »

Two-year data for Novartis brolucizumab reaffirm superiority versus aflibercept in reducing retinal fluid in ...
BioSpace (press release) (blog)
"These findings at year two reaffirm the excellent year one brolucizumab data regarding retinal fluid reduction, a key goal for physicians treating patients with nAMD," said Dr. Pravin U. Dugel, Managing Partner, Retinal Consultants of Arizona ...

and more »

Albuquerque Journal

Floaters in eyes a common annoyance
Albuquerque Journal
This change may signal that the retina has pulled away, or is pulling away, from the back of your eye (retinal detachment). Detachment usually occurs over about a week. A retina with a hole or tear can be treated with laser treatment or surgery. If ...


The Dominion Post

I'm seeing floaters — should I be worried?
The Dominion Post
The key word is “most” — because we see a handful of patients each year with nothing more than “floaters” as a symptom, and yet have a retinal detachment. I believe that if the retina is truly tearing or detaching (which can lead to permanent loss of ...


FierceBiotech

EuroBiotech—More Articles of Note
FierceBiotech
Mission Therapeutics landed a deal with AbbVie. The agreement, financial details of which remain a secret, gives AbbVie an option on drugs against four Alzheimer's and Parkinson's targets. Release. > Redx Pharma unveiled a fibrosis drug it hopes to ...


oDocs Nun Will Be A Game Changer For Stopping Preventable Blindness
Interesting Engineering
... to help treat common front of eye problems like cataracts and corneal abrasions but, more importantly, can be used to peer into the retina of patients to provide a diagnosis of retinal diseases like age-related macular degenerations and retinal ...


WhaTech

Retinal Surgery Devices market to exhibit steadfast expansion during 2018-2025 according to new research report
WhaTech
Furthermore, On the Basis Application, Market is sub segmented into diabetic retinopathy, retinal detachment, epiretinal membrane, macular hole, and others. The diabetic retinopathy application segment accounted for largest share of the retinal surgery ...

and more »

EYLEA® (aflibercept) Injection Improves Diabetic Retinopathy and Reduces Vision-Threatening Complications in ...
BioSpace (press release) (blog)
Intravitreal injections, including those with EYLEA, have been associated with endophthalmitis and retinal detachments. Proper aseptic injection technique must always be used when administering EYLEA. Patients should be instructed to report any ...

and more »

Sympathetic ophthalmia in fellow eye after vitrectomy for massive subretinal hemorrhage secondary to polypoidal ...
Dove Medical Press
Two months later, multiple serous retinal detachments were observed in his right eye. Positive human leukocyte antigen-DR4 and the uveitis were helpful in distinguishing between sympathetic ophthalmia and age-related macular degeneration. High-dose ...


Hospital in Dubai saves vision of Sudanese patient with 'oil change'
Gulf Today
Dubai: Moorfields Eye Hospital Dubai (Moorfields) has saved the sight of a patient by changing the silicone oil that had previously been implanted in his left eye as part of treatment undergone in Europe for a recurring retinal detachment. The patient ...

and more »

LANews By Abhishek Budholiya (press release) (blog)

Proliferative Vitreoretinopathy Market: Segmentation, Industry trends and Development to 2027
LANews By Abhishek Budholiya (press release) (blog)
Proliferative vitreoretinopathy (PVR) remains the most commonly observed failure in the surgery of rhegmatogenous retinal detachment (RRD), albeit substantial efforts have been taken to better understand and manage the condition in the past.


Hindustan Times

World Prematurity Day: Don't only think of survival of new-borns, but also their sight
Hindustan Times
The condition is characterised by the development of abnormal blood vessels in the retina of the eye, resulting in scarring and retinal detachment. ROP can be mild and may resolve spontaneously, but in serious cases, may progress rapidly and lead to ...

and more »

New Jersey Monthly

Replacement Parts for Your 21st-Century Body
New Jersey Monthly
Possible complications: Retinal detachment can occur, as can infection and bleeding. “Fortunately,” says Coniaris, “it's very rare and, in most instances, can be successfully treated.” Life span of the device: The vast majority never require ...


'I've been alone a long time': Blind USF student tells story of getting her first guide dog
WTSP.com
Zoe suffers from Bilateral Colobomas, a genetic disease that causes degenerative eyesight, and retinal detachment issues. "My left eye was the one that was damaged the most, so I don't see anything out of my left eye, I can see colors and lighting but ...


MD Magazine

Location Crucial to Corticosteroid Treatment for Uveitic Macular Edema
MD Magazine
If left untreated, uveitis can commonly lead to glaucoma, cataracts, optic nerve damage, retinal detachment and permanent vision loss. The study's chair, Douglas A. Jabs, MD, MBA, director of the Eye and Vision Research Institute at the New York Eye ...
GRN RESEARCH PVT LTD | LinkedInLinkedIn

all 11 news articles »

MD Magazine

At 96 Weeks Brolucizumab Outdoes Aflibercept in Reducing Retinal Fluid
MD Magazine
New 2-year results from the HAWK and HARRIER trials show that fewer patients with neovascular age-related macular degeneration treated with brolucizumab had intra-retinal fluid and/or sub-retinal fluid compared to those treated with aflibercept ...

and more »

Modern Ghana (press release) (blog)

On World Diabetes Day: St. Thomas Eye Hospital Holds Free Eye Screening
Modern Ghana (press release) (blog)
St Thomas Eye Hospital is a specialist eye clinic providing advanced surgical services in retinal detachment, laser surgeries, cataract, and glaucoma etc. It also has a community outreach program that provides free medical screening and surgeries to ...


Clinical outcomes of 4-point scleral fixated 1-piece hydrophobic acrylic equiconvex intraocular lens using ...
Dove Medical Press
There was one case of recurrent retinal detachment. One patient presented with an erosion of the Gore-Tex suture through the conjunctiva resulting in a purulent scleritis 6 months after the initial surgery, and was managed with removal of the IOL ...

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