retinal detachment

Question 1

what

Answer 1

retina separates from choroid underneath

Question 2

usually do to

Answer 2

retinal tear

–> allows vitreous fluid to get under retina and fill the space between retina + choroid

Question 3

why is this sight-threatening

Answer 3

outer retina relies on blood vessels of choroid for its blood suppply

Question 4

risk factors

Answer 4

posterior vitreous detachment 
diabetic retinopathy 
trauma 
retinal malignancy 
older age 
FHx

Question 5

features

Answer 5

painless
peripheral vision loss
blurred/distorted vision
flashes, floaters

Question 6

Mx - anyone with flashes and floaters

Answer 6

detailed assessment of retina by someone with appropriate skill set to detect tears, dettachment

Question 7

Mx - retinal tears

Answer 7

aim to create adhesions between retina + choroid to prevent detachment

• laser therapy
• cryotherapy

Question 8

Mx - retinal detachment

Answer 8

vitrectomy
scleral buckling
pneumatic retinopexy