Retinal detachment: Difference between revisions
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== | ==Background== | ||
# Abrupt onset of new "floaters" or flashes of light | #Average age of onset ~55 | ||
#Types | |||
##Rhegmatogenous (rhegma means "tear") | |||
###As vitreous separates from retina the traction creates a hole in retina | |||
####Fluid goes through the hole and peels the retina off like wallpaper | |||
##Exudative | |||
###Fluid accumulates beneath the retina without a retinal tear | |||
###Associated w/ neoplasm, inflammatory conditions, hypertension, preeclampsia | |||
##Tractional | |||
###Acquired fibrocellular bands in the vitrous contract and detach the retina | |||
###Associated w/ DM, sickle cell, trauma | |||
==Clinical Features == | |||
#Abrupt onset of new "floaters" or flashes of light | |||
##Vitreous tugs on the retina before separation | |||
# Visual acuity loss (filmy, cloudy, or curtain-like) or visual field loss | # Visual acuity loss (filmy, cloudy, or curtain-like) or visual field loss | ||
## May be mild or dramatic | ## May be mild or dramatic | ||
==DDx== | ==DDx== | ||
[[Acute Vision Loss (Noninflamed)]] | *[[Acute Vision Loss (Noninflamed)]] | ||
==Diagnosis== | ==Diagnosis== | ||
# Examination | #Examination | ||
## Visual acuity and visual fields | ##Visual acuity and visual fields | ||
##Fundoscopic exam with dilation | |||
#Ultrasound | |||
## Fundoscopic exam with dilation | ##Linear probe (7.5-10-MHz) is preferred | ||
# Ultrasound | ##Have pt lightly close their eye; avoid excessive pressure on globe | ||
## Linear probe (7.5-10-MHz) is preferred | |||
## Have pt lightly close their eye; avoid excessive pressure on globe | ==Treatment== | ||
*Urgent ophtho referral within 24hr | |||
== | ==Source== | ||
Tintinalli | |||
[[Category:Ophtho]] | [[Category:Ophtho]] | ||
Revision as of 19:52, 29 October 2011
Background
- Average age of onset ~55
- Types
- Rhegmatogenous (rhegma means "tear")
- As vitreous separates from retina the traction creates a hole in retina
- Fluid goes through the hole and peels the retina off like wallpaper
- As vitreous separates from retina the traction creates a hole in retina
- Exudative
- Fluid accumulates beneath the retina without a retinal tear
- Associated w/ neoplasm, inflammatory conditions, hypertension, preeclampsia
- Tractional
- Acquired fibrocellular bands in the vitrous contract and detach the retina
- Associated w/ DM, sickle cell, trauma
- Rhegmatogenous (rhegma means "tear")
Clinical Features
- Abrupt onset of new "floaters" or flashes of light
- Vitreous tugs on the retina before separation
- Visual acuity loss (filmy, cloudy, or curtain-like) or visual field loss
- May be mild or dramatic
DDx
Diagnosis
- Examination
- Visual acuity and visual fields
- Fundoscopic exam with dilation
- Ultrasound
- Linear probe (7.5-10-MHz) is preferred
- Have pt lightly close their eye; avoid excessive pressure on globe
Treatment
- Urgent ophtho referral within 24hr
Source
Tintinalli