Retinal Tear

A retinal tear is caused by the vitreous pulling on the peripheral retina. It can cause a retinal detachment.

What is a retinal tear?

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. Retinal tears occur in about 2 percent of eyes at the time of a posterior vitreous detachment. Once there is a tear, fluid can travel from inside the eye to under the retina. The risk of retinal detachment in an eye with a fresh retinal tear is about 70 percent. Treatment can reduce the risk of a tear progressing to a retinal detachment to about one percent. Ten percent of eyes with a retinal tear develop subsequent retinal tears, most within the first 2 months of onset of the symptoms.

What are Symptoms of a retinal tear?

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. At least half the time when the retina tears, a blood vessel in the retina is broken. When that occurs, blood is released into the vitreous which looks like hundreds of tiny pepper spots. You can see a little blood next to the retinal tear in the accompanying image. The spots might look black or red. Retinal tears occur in the far periphery of the retina. Unless there is also a retinal detachment, the change in vision from a retinal tear is not noticeable. If someone sees a shadow and loss of side vision, that means the retinal tear has progressed to a retinal detachment.

What is Laser Surgery?

A retinal tear can be treated with laser surgery or cryotherapy. Both accomplish the same goal:creating an adhesion around the tear to prevent a retinal detachment. The accompanying image shows fresh laser spots surrounding a retinal tear. Both treatments are safe with a very small risk of complications. Both laser and cryotherapy do not immediately create an adhesion. The adhesion is fairly good at one week and very good at four weeks. So it is important to ease into jarring activity following treatment for a retinal tear. Anything that creates excessive movement of the eye can be dangerous until the adhesion is formed. Reading, because of the back and forth movement of the eyes, is usually discouraged for a time following treatment of a retinal tear. About 10 percent of people who have had a retinal tear develop a subsequent retinal tear. Therefore if new and different symptoms occur following treatment it is important to notify your physician.

What about asymptomatic retinal holes?

Small asymptomatic retinal holes are not uncommon and usually do not need to be treated. Some surveys suggest that retinal holes are common and may exist in up to 8 percent of all eyes. The reason that retinal holes rarely cause retinal detachments is that they are not under traction. There are several forces that keep your retina attached. There is a suction force exerted by the retinal pigment epithelium. In addition, the retinal cells interdigitate with the underlying retinal pigment epithelial cells holding the retina in place like Velcro. To create a retinal detachment, a sufficient tractional force has to pull the retina out of position to allow fluid to traverse a retinal hole and enter the subretinal space and cause a retinal detachment. The absence of traction around a retinal hole seems to prevent retinal holes from progressing to retinal detachments.

Retinal Tear NEWS

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American Council on Science and Health

Zap! Laser Repair Of Your Torn Retina: An Interview With Royce Chen, MD
American Council on Science and Health
RC: Most retinal tears occur spontaneously and are associated with traction from the vitreous humor upon the retina. The next question is, “what is the vitreous?” And the answer is that the vitreous is a clear gel composed mostly of water, but also of ...


Spark Therapeutics Announces Positive CHMP Opinion for One-time Gene Therapy LUXTURNA® (voretigene ...
Nasdaq
The most common adverse reactions related to LUXTURNA reported in 5 percent or greater of the combined Phase 1 and Phase 3 trial participants included conjunctival hyperemia, cataract, increased intraocular pressure, retinal tear, dellen (thinning of ...

and more »

Dove Medical Press

Scleral buckling in the management of rhegmatogenous retinal detachment: patient selection and perspectives
Dove Medical Press
RRD is usually associated with PVD, typically presenting with a retinal tear, strong vitreoretinal traction, and bullous detachment. In contrast, RRD may develop without PVD, and typically presents with a small atrophic hole, shallow detachment, and ...


Sun Sentinel

Most eye floaters caused by age-related changes
Sun Sentinel
However, there are risks, including bleeding and retinal tears, and the surgery may not remove all of the floaters. Another treatment used infrequently for impaired vision caused by eye floaters is laser therapy. This treatment uses a laser to break up ...


Alport Syndrome and Vision
Alport Syndrome News
A macular hole is a tear in the retina, which causes blurred and distorted vision, especially in the center of the field of vision. Less than 5 percent of Alport syndrome patients develop a macular hole. Macular holes can sometimes be treated with a ...


Forbes

Is Blue Light From Your Smart Phone Harmful To Your Eyes?
Forbes
So while blue light and retinal can damage photoreceptor cells, one of the limitations of the study was that it was conducted in the lab in cultured retinal cells, designed to model the function of the eye, not a human eye itself. (So, it's still not ...


Equities.com

Kodiak Sciences Files $100 Million IPO for Chronic Retinal Diseases
Equities.com
Macular degeneration is a leading cause of vision loss, affecting more than 10 million people in the US—more than cataracts and glaucoma combined—according to the American Macular Degeneration Foundation. The macula is the central portion of the ...


Sporting News

The story behind why Curtis Harper walked out of the ring
Sporting News
But the NYSAC refused to grant Harper a license to fight because he'd undergone cataract surgery in 2017 and treatment for a retinal tear in 2015. And the NYSAC was further advised that, if Harper continued to fight without additional corrective ...


Pregnancy can affect vision
Wahpeton Daily News
These issues arise from a lack of tear production as well as an overproduction of mucous. Contact lenses ... Finally, in rare cases, a condition called pregnancy-induced hypertension can cause severe retinal changes including optic nerve swelling ...


Raconteur

Short-sightedness now a global epidemic
Raconteur
Experts warn that it can increase the risk of developing other eye conditions like myopic macular degeneration, glaucoma and retinal detachment. For the 10 per ... We blink far less when staring at a screen – so the lubricating tear film dries out ...


Business Wire (press release)

Dr. Paul Karpecki Named Lead Optometric Advisor for OcuMedic, Inc.
Business Wire (press release)
Dr. Karpecki is Director of Cornea Services at the Kentucky Eye Institute, and also, recently completed a preceptorship in retina at Retina Associates of Kentucky all in Lexington, KY. He also serves a director for the advanced ocular ... Dr. Karpecki ...

and more »

PVD patients seeking care on first day of symptoms have higher rate of retinal tears
Healio
Patients with posterior vitreous detachment who seek care on the first day of their symptoms have a statistically significant higher risk for retinal tears. Researchers retrospectively analyzed medical records of 365 patients with posterior vitreous ...


Retinal detachment and tears: the correct procedure to ensure early diagnosis and treatment
Lexology
A retinal detachment associated with a retinal tear is a serious ophthalmic condition. It is often a medical emergency and, if not treated quickly (or correctly), can lead to permanent visual loss or even complete blindness. What is the retina? The ...


BLOG: Secondary IOLs in cataract surgery
Healio (blog)
Fortunately, when a capsule becomes compromised during surgery, either due to capsular tear or zonular damage, a skilled surgeon has a number of techniques to help minimize surgical aphakia in patients. Aphakic eyes that have inadequate capsular ...


Posterior vitreous detachment - prevalence of and risk factors for retinal tears
Dove Medical Press
The incidence of retinal tears was 14.5% (n=53) and that of vitreous and/or retinal hemorrhage was 22.7% (n=83). For analysis of possible predictors for complications to PVD, patients diagnosed with retinal tears or vitreous hemorrhage between May and ...


INSIDER

6 things your eye doctor wishes you would stop doing
INSIDER
These include glaucoma, retinal tears, retinal tumors, uveitis, and others. The risk of not having an eye exam is too high. Also, the eyes should be dilated for these eye exams. Photography is an effective tool, but does not replace the need for ...


Seattle Times

Five symptoms that might mean you should head to an eye doctor
Seattle Times
“The problem is a lot of times when people see something but don't feel anything, they put off going to the doctor, but if it is a retinal tear or detachment and you wait too long and it turns into a full detachment, that will be way more serious and ...


Fortune

FDA approves novel gene therapy to treat patients with a rare form of inherited vision loss
FDA.gov
The most common adverse reactions from treatment with Luxturna included eye redness (conjunctival hyperemia), cataract, increased intraocular pressure and retinal tear. The FDA granted this application Priority Review and Breakthrough Therapy ...
FDA OKs Gene Therapy for Rare Mutation-Associated Vision LossPharmacy Times
FDA Approves Spark Therapeutics' LUXTURNA™ (voretigene neparvovec-rzyl), a One-time Gene Therapy for Patients ...GlobeNewswire (press release)
FDA Approves Spark Therapeutics' Voretigene Neparvovec-rzylMD Magazine
Rare Disease Report -Specialty Pharmacy Times -Xconomy -FDA.gov
all 127 news articles »

Bigbendnow

Letters to the editor
Bigbendnow
Later that afternoon I was diagnosed with a torn retina and the following morning (Sunday) Dr. Hwang repaired the tear. I am grateful to these professionals for the swift and professional manner in which they acted in order to protect my vision. Over ...


El Paso Inc.

Eye floaters: How I almost went blind in one eye
El Paso Inc.
Kasuga later explained that he had entered my eye in three places, drained it of the jelly-like vitreous liquid, used a laser to effectively stitch up the tear in the retina and, finally, injected a gas bubble into my eye to hold the retinal layer ...

and more »

Risk Factors for Retinal Redetachment After Silicone Oil Removal: A Systematic Review and Meta-Analysis
Healio
... 360° laser retinopexy, and emulsified oil were identified as possible protective factors for patients with the potential to have re-RD. SO tamponade resulting from giant retinal tear, proliferative diabetic retinopathy, proliferative ...


Free Malaysia Today

Are eye floaters a dangerous medical condition?
Free Malaysia Today
In cases where the vitreous humour contracts e.g. in extreme cold, enough force is produced to pull the retina inwards and cause a retinal tear. If left untreated, this can progresses to retinal detachment, where fluid accumulates behind the retina ...


LASIK Eye Surgery's Biggest Myths Revealed
MENAFN.COM
The upper limit of 45 years is incorrect; people older 45 years can also undergo LASIK surgery as long as they do not suffer from other eye diseases such as cataracts or retinal problems. The cornea never heals completely after LASIK. Scarring of the ...

and more »

Seeing 'worms' everywhere? It's OK. It's all just in your eye
Star2.com
In cases of retinal tear or detachment, treatment must take place as soon as possible so that an eye surgeon can reattach the retina and restore function before vision is lost permanently. PVDs are far more common than retinal detachments and are often ...


Lacrimal Cannulae Market Estimated to Record Highest CAGR by 2024
Digital Journal
It is also used for overflow tearing known as epiphora due to either overproduction of tears or inadequacy of lacrimal drainage system. Lacrimal Cannulae used in Lacerations of the canalicular ... of eye diseases among the geriatric and diabetic ...

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Saga Magazine News

My health story: detached retina
Saga Magazine News
Three types of retinal detachment. 1. A tear or break in the sensory layer, which allows fluid to seep underneath, causing the layers of the retina to separate. This is the most common type, which David had. 2. Strands of vitreous or scar tissue create ...


Phys.Org

Revealing the retina: Graphene corneal contact lens provides robust, irritation-free topographic electroretinography
Phys.Org
Another factor is that for a conventional stiff electrode, there is always thick tear film between the electrodes and the cornea, which can shunt the potential difference between different locations on the cornea." This last issue introduces yet ...


AOP

Safilens launches weekly contact lenses for presbyopia and astigmatism
AOP
Its technology uses hyaluronic acid and tamarind seed polysaccharide to normalise and maintain the physiological balance between the tear film and the ocular surface in stable condition. The 7days Presbyo contact lens is based on Safilens' patented ...


Statins to help prevent scar tissue in the eye?
Science Daily
According to a Finnish study, statin medication seems to reduce the risk of repeated surgery in patients who undergo a vitrectomy to treat a detached retina. The researchers believe that statins might prevent the formation of scar tissue inside the eye.

and more »

Atlanta Journal Constitution

Hawks guard Isaiah Taylor sustains eye injury
Atlanta Journal Constitution
Hawks guard Isaiah Taylor was diagnosed with a retinal tear to his right eye, which occurred Friday at practice, the team said in a news release Saturday afternoon. The Hawks said that they expect Taylor to be out one to two weeks.

and more »
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