Retinal Detachment Flashcards
What is a common sign of retinal detachment regarding visual acuity?
Reduced visual acuity, depending on macula compromise.
What is RAPD and when is it present in retinal detachment?
RAPD may be present if the detachment is extensive.
What happens to intraocular pressure (IOP) in retinal detachment?
IOP is reduced.
What is the Schaffer sign in retinal detachment?
Presence of pigmented cells (tobacco dust) in the anterior vitreous seen on slit lamp exam.
What are common symptoms of retinal detachment?
Flashes, Floaters, Curtain/veiling over vision, Blurred vision.
What is the first step in managing suspected retinal detachment?
Dilated fundus examination to check for Schaffer’s sign.
What specialist should a patient with retinal detachment be referred to?
Emergency referral to a vitreo-retinal specialist.
What are the common surgical treatments for retinal detachment?
Laser treatment, Pneumatic retinopexy, Scleral buckle surgery, Vitrectomy.
What determines the prognosis of retinal detachment?
Whether the macula is on or off.
What happens if retinal detachment is untreated?
It can cause severe vision loss; vision may return over months in some cases.
What are some risk factors for retinal detachment?
1 in 10,000 people, Higher risk in myopes, Family history of retinal detachment, Retinal detachment in the other eye.
What surgical history increases the risk of retinal detachment?
Complicated cataract surgery with vitreous loss.
What laser procedure poses a risk for retinal detachment?
YAG laser capsulotomy in high-risk eyes (especially high myopes).
What is the indication of a retinal break seen in retinal detachment?
Pigmented cells in the anterior vitreous, Pigment in the fundus (demarcation line), Operculum in vitreous.
What management is done for a patient with flashes and floaters?
Seen under CES scheme for a thorough dilated eye examination.
