Retinal disinsertion

Detachment of the retina - separating the light-sensitive membrane at the back of the eye from the choroid. In the Department of Ophthalmology and Eye Microsurgery K+31, highly qualified ophthalmologists are engaged in the treatment of retinal detachment.

Retinal detachment symptoms, causes

The retina is a thin, light-sensitive tissue at the back of the eye. It allows you to see an image that is directed at it through the cornea and lens.

  • Most often, retinal detachment occurs due to damage or tear in the retina. Liquid enters the rupture and this leads to the separation of the retina from the underlying tissues. This is comparable to a trapped air or liquid bubble under the wallpaper. Heredity and high myopia can also be the cause of this condition.
  • Another type of retinal detachment is called traction detachment. It occurs in people with uncontrolled diabetes, traumatic, after eye surgery, or in people with chronic inflammation.
  • The third type is an exudative form of retinal detachment, which occurs as a result of the formation of exudative fluid under the retina.

When the retina is detached, bleeding from the vessels at the ruptured area can darken the inner part of the eye called the vitreous humor. If the macular region, the part of the retina responsible for object vision, is exfoliated, central vision may be severely affected.

Retinal detachment symptoms

  • Bright flashes of light, especially at the periphery of the field of view
  • Blurred vision
  • Floating eye flies
  • Shadow or loss of part of the field of view of one eye

Risk factors for developing retinal detachment

  • myopia,
  • after surgery on the eyeball (the traction effect of the vitreous body on the periphery of the retina increases),
  • the presence of dangerous dystrophic foci on the retina,
  • eye injury,
  • the presence of retinal degenerations in several members of the same family as a genetic feature.

Diagnostics

Diagnostics will be carried out with the aim of examining the retina and assessing its condition. It may include the following types of examination:

  • Electroretinogram (recording of electrical signals in the retina when you see things)
  • Fluorescence angiography
  • Measurement of intraocular pressure
  • Ophthalmoscopy
  • Amsler test
  • Retinal photography
  • Test to determine the ability to see colors
  • Visual acuity test
  • Slit Lamp Inspection
  • Ultrasound examination of the eye

Retinal Detachment Treatment

Most people with retinal detachment require surgery. The operation should be completed as soon as possible, because the nervous tissue that makes up the retina quickly dies without adherence to the choroid feeding it.

Some types of retinal detachment surgery can be done in a doctor's office.

  • Laser coagulation of the retina can be applied if there is a tear or degenerative changes leading to a tear.

More severe detachments may require surgery in the operating room. Such procedures include:

  • Episcleral filling. When the sclera approaches the retina from the outside using a special silicone seal, sutured to the sclera.
  • Vitrectomy. When the vitreous body is removed with cords causing traction of the retina, and it is replaced with a special intraocular fluid, gas or silicone oil.

Prospects (forecast)

How well you see after surgery depends on the extent, age and nature of the retinal detachment. If the macular area has not been affected, the outlook after treatment may be good.

Most retinal detachments can be operated on, but it is often not possible to regain high vision.

In the absence of surgical treatment, retinal detachment leads to loss of vision. Then the whole eye dies and in some cases it is necessary to remove it.

Retinal detachment surgery prevents the risk of eye loss and can help restore your vision.

When should you see a doctor?

Retinal detachment is an urgent problem that requires medical attention within 24 hours after the onset of the first symptoms.

Preventing Retinal Detachment?

Use safety glasses to prevent eye injuries. Monitor your blood sugar if you have diabetes. See an ophthalmologist at least once a year, especially if you have risk factors for retinal detachment.

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