MDT EYE Retinal Detachment

Question 1

PT has these issues what would you suspect
Symptoms:
Flashes of light, floaters, a curtain or shadow moving over the field of vision, peripheral or central visual loss, or both

PE:
1) The retina is seen hanging in the vitreous like a gray cloud
2) One or more retinal tears or holes

Answer 1

Rhegmatogenous retinal detachment

Question 2

What would you suspect?
-Minimal to severe visual loss or a visual field defect; visual changes may vary with changes in head position.
-Retina is dome-shaped and the subretinal fluid shifts position with changes in posture.

Answer 2

Exudative retinal detachment

Question 3

DDx for Retinal Detachment

Answer 3

(1) Age related macular degeneration
(2) Ocular trauma
(3) Choroidal detachment

Question 4

Initial Care of the Disease and Follow Up for Retinal Detachment

Answer 4

(1) All cases of retinal detachment must be referred urgently to an ophthalmologist
(2) During transportation, the patient’s head is positioned so that the detached portion
of the retina will fall back with the aid of gravity.

Question 5

Tx for Retinal Detachment

Answer 5

(1) Involvement of the fovea: Urgent ocular surgery (laser photocoagulation, cryotherapy, pneumatic retinopexy).
(2) Otherwise, within 7 to 10 days of the onset.

Question 6

PT complains of vision loss that looks like a grey cloud