retinal detachment Flashcards
1
Q
what
A
retina separates from choroid underneath
2
Q
usually do to
A
retinal tear
–> allows vitreous fluid to get under retina and fill the space between retina + choroid
3
Q
why is this sight-threatening
A
outer retina relies on blood vessels of choroid for its blood suppply
4
Q
risk factors
A
posterior vitreous detachment diabetic retinopathy trauma retinal malignancy older age FHx
5
Q
features
A
painless
peripheral vision loss
blurred/distorted vision
flashes, floaters
6
Q
Mx - anyone with flashes and floaters
A
detailed assessment of retina by someone with appropriate skill set to detect tears, dettachment
7
Q
Mx - retinal tears
A
aim to create adhesions between retina + choroid to prevent detachment
- laser therapy
- cryotherapy
8
Q
Mx - retinal detachment
A
vitrectomy
scleral buckling
pneumatic retinopexy