A retinal detachment occurs when the retina separates from the outer layers of the eye. The retina is the innermost layer of the eye which acts like the film in a camera. Light rays that enter the eye are focused onto the retina, stimulating the nerve fibres which then send information to the brain to process what we see. If not treated early, retinal detachment may lead to partial or complete permanent loss of vision.
Vision with retinal detachment
The initial symptoms are usually a sudden 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 your field of vision. A retinal detachment is a medical emergency. If you experience the symptoms of a retinal detachment, you should see an ophthalmologist immediately. If too much time lapses, the chances of successfully repairing the retina through surgery will be lower, and you may develop permanent vision loss.
If you have any of the risk factors for retinal detachment, you may consider avoiding activities where there is a risk of shock or pressure on the head or eyes. Frequent eye examinations can pick up problems early. With prompt treatment, a torn retina can be fixed before full retinal detachment occurs.
Retinal detachment occurs after a tear in the retina develops, allowing fluid to pass through it to separate the retina from the wall of the eye. Over time, the detachment may cause the retina to lose contact with the blood supply of the eye and stop functioning. This is when you lose your vision.
Your risk increases if you:
The following tests, instruments and procedures may be needed to diagnose retinal detachment.
A laser or surgery is usually used to repair a retinal tear, hole or detachment. Your ophthalmologist will discuss the risks and benefits of your treatment options with you. Together, you can determine a suitable treatment.
retinal tear or hole has not progressed to a retinal detachment, your ophthalmologist may suggest an outpatient procedure to seal the tear or hole to prevent retinal detachment.
If your retina has detached, surgical procedures will be required to repair it. The specifics of your retinal detachment will determine which approach your ophthalmologist recommends.
With modern therapy, over 90% of those with a retinal detachment can be successfully treated with one procedure, although sometimes a second operation may be required. The degree of vision that returns after successful surgery will vary depending on the extent and duration of the retinal detachment.
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