Retinal detachment

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History

  • Abrupt onset of new "floaters" or flashes of light
  • Visual acuity loss (filmy, cloudy, or curtain-like) or visual field loss
  • May be mild or dramatic


Diagnosis

  • Examination
  • Visual acuity and visual fields
  • Intraocular pressure
  • Hypotony of > 4-5 mmHg is common in the affected eye
  • Fundoscopic exam with dilation
  • Ultrasound
  • Linear probe (7.5-10-MHz) is preferred
  • Have pt lightly close their eye; avoid excessive pressure on globe


Disposition

  • Urgent ophtho referral
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