Retinal detachment

Question 1

Explain the blood supply of the retina

Answer 1

2/3 inner from the retinal blood vessel

1/3 outer from the choroidal blood vessel

Question 2

Retinal detachment etiologies:

Answer 2

REST

R - Rhgmatogenous (hole)
E - Exudative
S - SOL
T - Traction

Question 3

Retinal detachment etiologies - expand on Rhegmatogenous (hole) :

Answer 3

MAPIT:
M - Myopia (high >-4.5, 50% of these patients)
A - Aphakia
P - Pseudophakia (cataract surgery, ICCE)
I - Idiopathic
T - Trauma

Question 4

Retinal detachment etiologies - expand on Exudative:

Answer 4

Tel Aviv Uni:
T - Trauma
A - AMD
U - Uveitis

Question 5

Retinal detachment etiologies - expand on SOL:

Answer 5

Metastasis, choroidal melanoma, Rb

Question 6

Retinal detachment etiologies - expand on Traction:

Answer 6

PDR (fibrosis), congenital

Question 7

Retinal detachment signs and symptoms:

Answer 7

FLAC

F - Floaters
L - Light sensation
A - Acuity decrease
C - curtain sight ( seeing through a curtain if macula not involved, and blinding if the macula is involved)

Question 8

Retinal detachment fluid is from ______

Answer 8

Vitreous body

Question 9

Retinal detachment treatment - expand on Rhegmatogenous (hole) options:

Answer 9

Depends on timing!

1. Early small detachments - laser/cryo
2. Actual tears - Rretinpexy/cryoretinopexy.
3. Scleral buckle
4. Vitrectomy (in case of proliferative vitreoretinopathy)

Question 10

Retinal detachment treatment - expand on Exudative:

Answer 10

Treat the underlying cause.

Question 11

Retinal detachment known complication is

Answer 11

proliferative vitreoretinopathy