Fundus Anomalies (Retina) Flashcards
torn by mechanical force, usually vitreous traction
Retinal tear
when retina is torn, metaplastic pigment epithelial cells may enter vitreous
Retinal tear
occurs where the retina is thinnest & least supported by nerve fibers at macula & near periphery
Retinal tear
___________ destroys central vision; _________allow vitreous to seep through into potential space between retina & protect its pigment epitheliu
Macular tears; Peripheral tears
-distinctive feature is avulsed tissue
-sharp greyish margin of recoiled retina
Retinal tear
- px report shower of black spots that represent shadow macula caused by RBC in retrovitreal space
-central vision difficulty
Retinal tear
Vitreous traction (constant & intermittent)
Direct trauma
Anomalous zonular fibers
Retinal tear
vitreous traction that is proliferative diabetic retinopathy, penetrating injuries & variety of other diseases cause scarring in vitreous
Constant vitreous traction
treatment for Retinal tear
-Freezing (cryothermy) -destroy cells but leaves fibrous structure intact
-Burning by light (photocoagulation) - xenon arc or argon laser
-Burning by electricity (diathermy) - energy of high frequency transformed to heat, coagulates choroid & retina
separation of retina occurring between layer of pigment epithelium & layer of rods & cones
Retinal detachment
either primary of secondary
Retinal detachment
loss of vision causing appearance of dark cloud before the eye
Retinal detachment
early symptoms metamorphopsia & flashes of light (photopsia)
Retinal detachment
central vision preserved but is lost if macula is included
retinal detachment
If detachment is _____, the color appears but slightly changed, the retina somewhat cloudy & its vessels are darker & more tortous
flat