retinal detachment Flashcards

1
Q

what

A

retina separates from choroid underneath

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2
Q

usually do to

A

retinal tear

–> allows vitreous fluid to get under retina and fill the space between retina + choroid

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3
Q

why is this sight-threatening

A

outer retina relies on blood vessels of choroid for its blood suppply

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4
Q

risk factors

A
posterior vitreous detachment 
diabetic retinopathy 
trauma 
retinal malignancy 
older age 
FHx
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5
Q

features

A

painless
peripheral vision loss
blurred/distorted vision
flashes, floaters

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6
Q

Mx - anyone with flashes and floaters

A

detailed assessment of retina by someone with appropriate skill set to detect tears, dettachment

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7
Q

Mx - retinal tears

A

aim to create adhesions between retina + choroid to prevent detachment

  • laser therapy
  • cryotherapy
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8
Q

Mx - retinal detachment

A

vitrectomy
scleral buckling
pneumatic retinopexy

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