Odwarstwienie siatkówki
Diagnostyka i diagnoza

Odwarstwienie siatkówki to nagły stan okulistyczny, w którym siatkówka oddziela się od tylnej ściany oka, co bez szybkiej interwencji może prowadzić do trwałej utraty wzroku. Diagnostyka opiera się na badaniu dna oka z rozszerzeniem źrenicy, wykorzystując oftalmoskopię bezpośrednią, pośrednią oraz z lampą szczelinową, często z indentacją twardówki w celu wykrycia przedarć. W przypadkach utrudnionej wizualizacji stosuje się ultrasonografię oka, optyczną koherentną tomografię (OCT) oraz szerokokątną fotografię dna oka. Kluczowe jest rozróżnienie typów odwarstwienia: rhegmatogennego (z przedarciem), trakcyjnego (związane z bliznowaceniem) oraz wysiękowego (nagromadzenie płynu bez przedarcia). Ocena zajęcia plamki żółtej („mac-on” vs. „mac-off”) determinuje pilność interwencji chirurgicznej i rokowanie.

Odwarstwienie siatkówki – diagnostyka

Odwarstwienie siatkówki to stan, w którym siatkówka (cienka warstwa tkanki światłoczułej) oddziela się od swojego normalnego położenia w tylnej części oka. Jest to stan nagły wymagający natychmiastowej interwencji, ponieważ nieleczone odwarstwienie siatkówki może prowadzić do trwałej utraty wzroku.12 Właściwa i szybka diagnostyka jest kluczowa dla skutecznego leczenia i zapobiegania trwałemu uszkodzeniu wzroku.

Badanie okulistyczne z rozszerzeniem źrenicy

Podstawową metodą diagnostyczną w przypadku podejrzenia odwarstwienia siatkówki jest badanie dna oka z rozszerzeniem źrenicy.12 Okulista podaje krople rozszerzające źrenicę, co umożliwia dokładne zbadanie siatkówki. Podczas tego badania specjalista może ocenić stan siatkówki, zidentyfikować ewentualne otwory, przedarcia lub odwarstwienia.12

Lekarz może wykorzystać różne techniki badania dna oka, w tym:12

  • Oftalmoskopię bezpośrednią – z użyciem ręcznego oftalmoskopu do oceny czerwonego refleksu, który może być zmieniony w przypadku odwarstwienia siatkówki1
  • Oftalmoskopię pośrednią – zapewniającą lepszą wizualizację obwodowej części siatkówki2
  • Oftalmoskopię z lampą szczelinową

W czasie badania lekarz może również zastosować ucisk twardówki (indentację twardówki), aby lepiej uwidocznić obwodowe obszary siatkówki, gdzie często występują przedarcia.12 Jest to szczególnie ważne, ponieważ przedarcia mogą być prekursorami odwarstwienia siatkówki.

Badania obrazowe

W przypadku, gdy bezpośrednie badanie dna oka nie pozwala na postawienie jednoznacznej diagnozy, mogą zostać zastosowane dodatkowe badania obrazowe:12

  • Ultrasonografia (USG oka) – szczególnie ważna, gdy siatkówka jest niewidoczna z powodu zmętnienia soczewki, krwotoku do ciała szklistego lub innych stanów uniemożliwiających bezpośrednią obserwację dna oka. Badanie to wykorzystuje fale dźwiękowe do stworzenia obrazu wnętrza oka, umożliwiając lokalizację i ocenę stopnia odwarstwienia siatkówki.12
  • Optyczna koherentna tomografia (OCT) – nieinwazyjna metoda obrazowania przekrojów siatkówki przy użyciu fal świetlnych. OCT jest szczególnie przydatne do określenia, czy odwarstwienie objęło plamkę żółtą (centralną część siatkówki odpowiedzialną za ostre widzenie centralne) oraz do oceny stopnia odwarstwienia.12
  • Szerokokątna fotografia dna oka – pomaga w dokumentacji zakresu odwarstwienia siatkówki i lokalizacji przedarć.12

W rzadszych przypadkach mogą być stosowane również inne metody obrazowania, takie jak tomografia komputerowa (CT) lub rezonans magnetyczny (MRI), ale głównie w celu wykluczenia innych stanów patologicznych lub gdy istnieje podejrzenie pęknięcia gałki ocznej, złamań oczodołu lub obecności ciał obcych wewnątrzgałkowych.12

Ocena kliniczna i klasyfikacja

Po przeprowadzeniu badań diagnostycznych, okulista może określić typ odwarstwienia siatkówki, co ma kluczowe znaczenie dla wyboru odpowiedniej metody leczenia.1 Wyróżniamy trzy główne typy odwarstwienia siatkówki:12

  1. Odwarstwienie rhegmatogenne – najczęstszy typ, spowodowany przedarciem lub otworem w siatkówce, przez który płyn dostaje się pod siatkówkę, powodując jej oddzielenie. Ma charakterystyczny pofałdowany wygląd i faluje podczas ruchów gałki ocznej.1
  2. Odwarstwienie trakcyjne – spowodowane przez tkankę bliznowatą lub włóknisto-naczyniową, która powstaje w wyniku urazu, choroby zapalnej lub obecności neowaskularyzacji (np. w retinopatii cukrzycowej).1
  3. Odwarstwienie wysiękowe – występuje w wyniku nagromadzenia płynu pod siatkówką bez obecności przedarcia, najczęściej z powodu stanu zapalnego, urazu lub choroby naczyniowej siatkówki.1

Istotnym elementem diagnostyki jest również ocena, czy odwarstwienie objęło plamkę żółtą (stan „mac-on” lub „mac-off”). Ten czynnik ma kluczowe znaczenie dla rokowania i pilności leczenia chirurgicznego.12 Odwarstwienia z zachowaną plamką („mac-on”) wymagają pilniejszej interwencji, podczas gdy w przypadkach, gdy plamka jest już odwarstwiona („mac-off”), zabieg może być przeprowadzony w krótkim czasie od diagnozy.1

Diagnostyka różnicowa

W procesie diagnostycznym ważne jest różnicowanie odwarstwienia siatkówki z innymi stanami o podobnych objawach. Do najczęstszych stanów, z którymi należy różnicować odwarstwienie siatkówki, należą:1

  • Retinoschiza – rozszczepienie warstw siatkówki, które może przypominać odwarstwienie1
  • Guz naczyniówki – może powodować uniesienie siatkówki1
  • Odłączenie ciała szklistego (PVD) – często poprzedza odwarstwienie siatkówki, ale samo w sobie nie jest stanem zagrażającym wzrokowi1
  • Krwotok do ciała szklistego – może utrudniać wizualizację siatkówki i maskować odwarstwienie1

Badania przed zabiegiem

Jeśli diagnoză odwarstwienia siatkówki zostanie potwierdzona, pacjent może wymagać dodatkowych badań przed zabiegiem chirurgicznym. W zależności od stanu pacjenta i planowanego rodzaju zabiegu, mogą być to:1

  • Podstawowe badania krwi (morfologia, panel biochemiczny)
  • Badania układu krzepnięcia (PT/PTT, INR) – szczególnie ważne u pacjentów przyjmujących leki przeciwkrzepliwe
  • Ocena poziomu HbA1C – istotna u pacjentów z cukrzycą

Znaczenie szybkiej diagnozy

Odwarstwienie siatkówki jest stanem wymagającym pilnej interwencji.12 Opóźnienie w diagnozie i leczeniu może prowadzić do trwałej utraty wzroku.1 Dlatego tak ważne jest, aby osoby doświadczające objawów sugerujących odwarstwienie siatkówki (błyski światła, nagłe pojawienie się dużej liczby mętnień – „muszek”, ciemna zasłona przesuwająca się w polu widzenia) jak najszybciej zgłosiły się do okulisty lub na oddział ratunkowy.12

Wczesna diagnoza i leczenie mają kluczowe znaczenie dla zachowania wzroku. Czas od pojawienia się odwarstwienia do interwencji chirurgicznej jest jednym z najważniejszych czynników prognostycznych.1 Szczególnie istotna jest szybka interwencja w przypadkach, gdy odwarstwienie nie objęło jeszcze plamki żółtej, co daje większe szanse na pełne odzyskanie ostrości wzroku.12

Rokowanie po leczeniu

Wynik leczenia odwarstwienia siatkówki zależy od wielu czynników, z których najważniejsze to:12

  • Czas od wystąpienia odwarstwienia do leczenia
  • Zakres odwarstwienia
  • Czy odwarstwienie objęło plamkę żółtą
  • Obecność innych chorób oczu (np. retinopatia cukrzycowa)

Operacje naprawy odwarstwienia siatkówki są zazwyczaj bardzo skuteczne – około 90% przypadków udaje się naprawić za pomocą jednej operacji.12 Jednak około 10% pacjentów może wymagać więcej niż jednego zabiegu, z powodu tworzenia się nowych przedarć siatkówki lub bliznowacenia, które może ponownie pociągnąć siatkówkę.1

Jeśli odwarstwienie siatkówki zostanie wcześnie wykryte i skutecznie leczone, pacjent ma dużą szansę na zachowanie dobrego widzenia, szczególnie jeśli plamka żółta nie została odwarstwiona.1 W przypadku długotrwałego odwarstwienia lub gdy odwarstwienie objęło plamkę, może dojść do trwałego pogorszenia widzenia centralnego, mimo udanej operacji.1

Podsumowanie diagnostyki odwarstwienia siatkówki

Diagnostyka odwarstwienia siatkówki opiera się głównie na badaniu dna oka z rozszerzeniem źrenicy, które pozwala okuliście na ocenę stanu siatkówki i identyfikację ewentualnych przedarć lub odwarstwień.1 W przypadkach, gdy bezpośrednia wizualizacja siatkówki jest utrudniona, pomocne są badania obrazowe, takie jak ultrasonografia oka czy OCT.12

Ze względu na poważne konsekwencje nieleczonego odwarstwienia siatkówki, każdy pacjent z objawami sugerującymi ten stan powinien być natychmiast skierowany do okulisty w celu dokładnej oceny i ewentualnego leczenia.12 Szybka diagnoza i interwencja są kluczowe dla zachowania wzroku i uzyskania dobrych wyników leczenia.12

Kolejne rozdziały

Zapraszamy do dalszego czytania naszego leksykonu.

Wybierz kolejny rozdział z menu poniżej, aby otworzyć nową podstronę kompedium wiedzy i uzyskać szczegółowe informację o leku, substancji lub chorobie.

  1. 09.04.2026
  2. www.leksykon.com.pl

Materiały źródłowe

  • #1 Retinal detachment – Symptoms and causes – Mayo Clinic
    https://www.mayoclinic.org/diseases-conditions/retinal-detachment/symptoms-causes/syc-20351344
    Retinal detachment is an emergency situation in which the thin layer of tissue at the back of the eye, called the retina, pulls away from its usual position. […] Retinal detachment symptoms often include flashes and floaters in your vision. […] Contacting an eye doctor, called an ophthalmologist, right away can help save your vision. […] See a healthcare professional right away if you have any symptoms of retinal detachment. This condition is an emergency that can cause lasting vision loss. […] If a tear develops in the retina, fluid can get in underneath that tear and just lift the retina off like wallpaper off a wall and that’s a retinal detachment. […] It’s especially important to have a dilated eye exam within days of noticing new floaters or changes in vision.
  • #1 Retinal Detachment | National Eye Institute
    https://www.nei.nih.gov/learn-about-eye-health/eye-conditions-and-diseases/retinal-detachment
    Diagnosis: Dilated eye exam […] If you experience any symptoms of retinal detachment, go to your eye doctor or the emergency room right away. Early treatment can help prevent permanent vision loss. […] If you see any warning signs of a retinal detachment, your eye doctor can check your eyes with a dilated eye exam. Your doctor will give you some eye drops to dilate (widen) your pupil and then look at your retina at the back of your eye. […] If your eye doctor still needs more information after a dilated eye exam, you may get an ultrasound or an optical coherence tomography (OCT) scan of your eye. Both of these tests are painless and can help your eye doctor see the exact position of your retina.
  • #1 Diagnosing Retinal Detachment | NYU Langone Health
    https://nyulangone.org/conditions/retinal-detachment/diagnosis
    NYU Langone ophthalmologists identify retinal detachment during an eye exam. […] Retinal detachment is considered an urgent medical condition requiring prompt treatment. […] NYU Langone ophthalmologists diagnose a retinal detachment during a routine eye exam. Your doctor may first ask about your symptoms and any recent changes in your vision. […] During the exam, your ophthalmologist puts drops in your eye to dilate, or widen, the pupil, giving the doctor a clear view of the lens of the eye, as well as the retina. Your doctor may also use an ophthalmoscope, an instrument with a bright light and special magnifying lenses, to examine your retina for any holes or tears. […] If your doctor finds a retinal tear, you are at an increased risk of developing retinal detachment.
  • #1 Retinal Detachment: Symptoms, Causes and Treatment – All About Vision
    https://www.allaboutvision.com/conditions/retinal-detachment/overview-of-detached-retina/
    Retinal detachment diagnosis generally begins with a comprehensive eye exam. Some people may seek an eye exam due to detached retina or retinal tear symptoms. However, asymptomatic cases might only be identified during regular eye visits. Since some cases of retinal detachment may not show symptoms, it is important to have annual eye exams to screen for retinal and other eye concerns. […] During the exam, your eye doctor may first evaluate the front part of your eye through a slit-lamp examination. They may also assess your visual acuity, color vision, eye pressure and other factors. Your doctor will then place special eye drops in your eyes to dilate (widen) your pupils. This helps them see your retina and determine if a detachment or other damage may have occurred. […] Once your eyes are dilated, your eye doctor may perform a fundoscopic exam, or ophthalmoscopy, to evaluate the back part of your eye (fundus). One or more of the following techniques may be used: Direct ophthalmoscopy, Indirect ophthalmoscopy, Slit-lamp ophthalmoscopy.
  • #1 Evaluation and Management of Suspected Retinal Detachment | AAFP
    https://www.aafp.org/pubs/afp/issues/2004/0401/p1691.html
    The direct (hand-held) ophthalmoscope is useful to detect an altered red reflex sometimes associated with retinal detachment. […] Ophthalmologists use indirect examination techniques that greatly enhance visualization of the peripheral fundus. […] Surgical correction of retinal detachment aims to relieve vitreoretinal traction, and close retinal tears and holes. […] Therefore, surgical repair is indicated more urgently in patients with preserved central acuity, less urgently in patients whose macula detached in the previous hours to days, and routinely in those whose macula has been detached for several days or weeks.
  • #1 Complex Retinal Detachment
    https://www.asrs.org/patients/retinal-diseases/34/complex-retinal-detachment
    Viewing the retina with an indirect ophthalmoscope while the doctor applies gentle pressure to the eye (scleral depression) is the primary method for diagnosing retinal detachment. […] When view of the retina is obscured (blocked) by blood or dense cataract, B-scan ultrasonography can be used to determine the location and extent of a retinal detachment. […] To confirm whether there is subretinal fluid in the macula, optical coherence tomography (OCT) may be used.
  • #1 Testing and Diagnosis of Retinal Detachment
    https://www.socalretina.com/blog/2013/07/10/testing-and-diagnosis-of-retinal-141466/
    The retina is the light-sensitive tissue located at the back of the eye. Retinal detachment refers to cases in which this tissue tears or peels off from the back of the eye. […] One of the ways that you can help you doctor or eye care specialist in the diagnosis of retinal detachment is to mention these issues to them. Communication really is key to good eye care. […] There are different tests and methods that an ophthalmologist can use to detect retinal detachment. These are as follows: […] Ultrasonography – This testing method uses sound waves traveling through the eye in order to create an image of the insides. This helps identify tears and detachments of the retina.
  • #1 Retinal Detachment Types, Causes, Symptoms, and Treatments | UPMC
    https://www.upmc.com/services/eye/conditions/retinal-detachment
    A detached retina is a medical emergency and can lead to blindness. […] To diagnose retinal detachment, your doctor will use some form of retinal imaging and other methods, such as: A dilated eye exam. Your doctor will give you eye drops to widen your pupil to get a better view inside your eye. They may press on your eyelids to check for retinal tears. […] How do you diagnose a detached retina? […] Your doctor will ask about your personal and family health history and symptoms. […] An ultrasound. This test uses high-frequency sound waves to pick up signs of retinal detachment. […] An optical coherence tomography scan. This test takes highly detailed pictures of your retina using light waves. […] The eye specialists at the UPMC Vision Institute are experts at treating detached retinas.
  • #1 Retinal Detachment
    https://www.asrs.org/retinaldetachment
    When the retina is detached from the back wall of the eye, it is separated from its blood supply and no longer functions properly. […] Your retina specialist will perform a detailed eye exam, including a careful examination of the peripheral retina. This may include pushing on the outside of the eye (scleral depression) to view the far most peripheral retina to identify any retinal breaks that will need to be treated. […] Photographing the retina is sometimes performed to document the extent of the detached retina, and an optical coherence tomography (OCT) scan of the retina can be useful to determine whether fluid has detached the center of the retina (the macula). […] When a clear view of the retina cannot be obtained by direct visualization, an ultrasound of the eye can be helpful.
  • #1 Retinal detachment – Wikipedia
    https://en.wikipedia.org/wiki/Retinal_detachment
    Retinal detachment is usually diagnosed through a dilated eye exam. […] If needed, additional imaging tests can help confirm the diagnosis. […] The gold standard for diagnosing retinal detachment is a dilated fundus examination to check the back of the eye using an indirect ophthalmoscope. […] If the view of the retina is not clear, imaging techniques such as ultrawide-field fundus photography, B-scan ultrasonography, and optical coherence tomography (OCT) may help to identify a detachment. […] MRI and CT scans are less commonly used for the diagnosis of retinal detachment, but they may be useful in certain cases. […] In an emergency department setting, bedside ultrasonography can also be used for diagnosis.
  • #1 Retinal Detachment – EyeWiki
    https://eyewiki.org/Retinal_Detachment
    The differential diagnosis of retinal detachment includes retinoschisis and choroidal mass. Rhegmatogenous retinal detachment is most often confused with retinoschisis and serous retinal detachment. […] Once a retinal detachment has been identified, one must determine what type of detachment is present. Surgical management is indicated for rhegmatogenous and tractional detachments.
  • #1 Retinal Detachment and Retinal Tears Treatment Experts, Assil Gaur Eye
    https://assileye.com/eye-care/retinal-tears-and-retinal-detachment
    In this procedure, our surgeon sews a silicone band (buckle) to the outer white part of your eye (called the sclera). This causes the eyewall to indent, counteracting the force pulling the retina out of place. […] In this surgery, a doctor injects a small gas bubble into the vitreous gel, the gel-like substance that fills the inside of your eye. […] In this procedure, three tiny incisions are made in the white part of the eye to remove the vitreous (jelly-like fluid) that fills the eye. […] Because a detached retina has no contact with the eyewall, no surface can receive the laser energy. This is why when the retina has already detached. Other surgical methods are required to repair it. […] Yes, there are three main types of retinal detachment: Rhegmatogenous retinal detachment is the most common type, which happens when a tear or hole in the retina allows fluid to get under it and cause it to detach from your eyeball.
  • #1 Retinal Detachment – EyeWiki
    https://eyewiki.org/Retinal_Detachment
    Retinal detachment is a sight threatening condition with an incidence of approximately 1 in 10000. […] Patients who present with symptoms of new onset significant photopsias and/or persistent new floaters should be suspected of having a retinal tear, which could lead to a retinal detachment. A patient with constant fixed or slowly progressive visual field loss should be suspected of having a detachment until proven otherwise. […] Rhegmatogenous retinal detachment has a characteristic appearance differentiating it from a tractional or serous detachment. A rhegmatogenous retinal detachment has a corrugated appearance and undulates with eye movements. […] Rhegmatogenous retinal detachment is a clinical diagnosis. Where available, it is sometimes appropriate to examine and document macula status with ocular coherence tomography and/or wide field fundus photography.
  • #1 Retinal Detachment | Symptoms | Eye Associates & SurgiCenter | NJ
    https://sjeyeassociates.com/retinal-detachment-vineland/
    Retinal detachment is a painless site threatening eye problem. A detached retina is when the retinal lifts away from the back of the eye. The retina does not work when it is detached, making vision blurry. […] The key is to preserving vision is to recognize these warning signs and symptoms and scheduling quick diagnosis and treatment. Warning signs and symptoms of retinal detachment may include: […] Rhegmatogenous Retinal Detachment is the most common type of retinal detachment. […] Exudative Retinal Detachment may occur due to inflammation, injury or a Retinal Vascular Disease that causes fluid accumulation underneath the retina without the presence of a retinal hole or retinal tear. […] Tractional Retinal Detachment may occur when fibrous or fibrovascular scar tissue has been formed on the retina as a result of an injury, inflammatory disease or the presence of neovascularization, such as in Diabetic Retinopathy.
  • #1 How to diagnose and manage retinal detachments – EyeGuru
    https://eyeguru.org/essentials/retinal-detachments/
    In this article, we will be reviewing the essentials needed to understand and evaluate an acute retinal detachment, a disease process which may require urgent intervention. […] Since a retinal detachment sometimes requires urgent surgery, it is very important to be able to identify important elements of the history and exam, understand their significance, and communicate those findings. […] An RD is when the neurosensory retina detaches from the underlying retinal pigment epithelium (RPE). […] It is important to classify the type of retinal break since they may be treated with a different surgical procedure and/or be associated with a differing surgical prognosis. […] Patients with “mac-on” retinal detachments require surgery urgently, while patients with “mac-off” detachments may be delayed a short time.
  • #1 Retinal Detachment Workup: Laboratory Studies, Imaging Studies
    https://emedicine.medscape.com/article/798501-workup
    Laboratory tests are not helpful in detecting retinal detachment and are not warranted in the acute care of the patient. However, if the patient requires surgical intervention, it may be useful to have basic blood work (BMP, PT/PTT, INR, HbA1C). This is especially important in diabetics and those on systemic anti-coagulation. […] Unless globe rupture, orbital/facial bone fractures or intraocular foreign bodies are suspected, imaging techniques, such as CT scans or MRIs, are not warranted to evaluate for retinal detachments. […] In difficult cases, bedside ocular ultrasonography can facilitate prompt diagnosis of retinal detachment. Potential ultrasonographic mimics of retinal detachment (eg, posterior vitreous detachment [PVD] and vitreous hemorrhage [VH]) should be excluded.
  • #1 Retinal Detachment: Symptoms & Causes
    https://my.clevelandclinic.org/health/diseases/10705-retinal-detachment
    Retinal detachment is a medical emergency even though it’s painless and happens when your retina pulls away from supporting tissue in your eye. […] You need an eye exam to diagnose retinal detachment. Your eye care provider will use a dilated eye exam to check your retina. […] Your provider may recommend other tests after the dilated eye exam. These tests are noninvasive. They won’t hurt. They help your provider see your retina clearly and in more detail: […] After treatment for a detached retina, you may have some discomfort. It can last for a few weeks. Your provider will discuss pain medicine and other forms of relief. […] If you notice detached retina symptoms a sudden increase in eye floaters, flashes of light or darkening of your vision get care right away. Call your eye care provider or go to the emergency room. You’ll need some type of surgery to fix a detached retina. Waiting even days for treatment could mean permanent loss of vision.
  • #1 Retinal detachment | Macular Disease Foundation Australia Macular Disease Foundation Australia
    https://www.mdfoundation.com.au/about-macular-disease/other-macular-conditions/retinal-detachment/
    A retinal detachment is a medical emergency. Without prompt treatment, you risk permanent sight loss. […] A retinal detachment is an emergency and needs to be assessed and treated as soon as possible. […] If a retinal detachment is not detected and treated it may result in the permanent loss of some or all the vision in your eye. […] A retinal detachment is diagnosed by a comprehensive eye examination with an optometrist or ophthalmologist. Your eye health professional may dilate (enlarge) your pupils using eye drops to examine the retina at the back of your eye. […] The sooner treatment is carried out, the better the results are likely to be. If retinal detachment is not treated then you are likely to lose all the vision in the affected eye over time. A retinal detachment will not get better without treatment. […] Surgery is usually very successful at reattaching the retina.
  • #1 Diagnosis and Treatment – Moorfields Private
    https://www.moorfields.nhs.uk/private/eye-conditions-and-treatments/retinal-detachment/diagnosis-and-treatment
    If the examination by the eye surgeon and associated tests confirm that you have a detached retina or you have experienced a retinal tear, you will need to be referred to hospital to undergo retinal detachment surgery or retinal laser. The surgical procedure involves sealing the retinal holes and reattaching your retina. […] Retinal detachment surgery is not always successful. Every patient is different, and some detached retinas are more complicated to treat than others. Some patients might need more than one operation. Your surgeon will discuss with you the risks and benefits of the operation you are about to have. […] If we diagnose and treat it quickly and successfully, most of your central vision will be restored. If, the eye already has poor central vision, when we diagnose a detached retina, we might not be able to restore all of your central sight.
  • #1 Retinal Detachment Types, Causes, Symptoms, and Treatments | UPMC
    https://www.upmc.com/services/eye/conditions/retinal-detachment
    They can perform surgery to reattach the retina to the back of the eye. […] Treatments we offer include: Freeze treatment or laser surgery. Doctors use these outpatient procedures to seal small retinal tears. […] Scleral buckle. The doctor sews a rubber or plastic band to the outside of the eyeball. […] Vitrectomy. The doctor removes the vitreous gel that’s pulling on the retina. […] Pneumatic retinopexy. Doctors insert a gas bubble into the eye. […] Surgery can help reattach your retina. Treatment is successful for nine out of 10 people.
  • #1 Retinal detachment I Eye condition information | RNIB
    https://www.rnib.org.uk/your-eyes/eye-conditions-az/retinal-detachment/
    Around one in 10 people may need more than one operation to treat a retinal detachment. The reasons for this are new tears forming in the retina, or the formation of scar tissue which contracts and pulls the retina off again. […] If your retinal detachment is detected early and treated successfully, you may not be left with any long-term problems with your vision once your eye has recovered from surgery.
  • #1 Retinal detachment | Better Health Channel
    https://www.betterhealth.vic.gov.au/health/conditionsandtreatments/retinal-detachment
    Retinal detachment means the retina has separated from the back of the eye. […] Retinal detachment is when the retina pulls away from the tissue around it (the choroid), which supplies it with oxygen and nutrients. When the retina is detached it can no longer function and vision is lost. […] Retinal detachment surgery involves reattaching the retina to the back of the eye and sealing any breaks or holes. […] A retinal detachment needs prompt corrective surgery to prevent permanent damage to your eyesight. […] Retinal detachment can only be repaired with surgery. If left untreated, your vision will most likely worsen beyond repair. Seeing an eye specialist as soon as you experience symptoms leads to the best outcome. […] In most specialist centres around nine out of ten retinal detachments are successfully repaired with a single operation. In the remaining cases, the retina re-detaches and needs another operation. The final success rate is over 95 per cent. Whether or not your vision returns depends not only on the success or failure of the operation, but also on the duration, extent and location of the detachment.
  • #1 Retinal Detachment – Eye Disorders – Merck Manual Professional Edition
    https://www.merckmanuals.com/professional/eye-disorders/retinal-disorders/retinal-detachment
    Any patient with a suspected or established retinal detachment should be examined urgently by an ophthalmologist. […] Arrange for urgent indirect ophthalmoscopy by an ophthalmologist to diagnose retinal detachment if patients have a sudden increase or change in floaters; photopsias; a curtain or veil across the visual field; any sudden, unexplained loss of vision; or if vitreous hemorrhage obscures the retina.
  • #2 Detached retina (retinal detachment)
    https://www.nhs.uk/conditions/detached-retina-retinal-detachment/
    A detached retina is when the thin layer at the back of your eye (retina) becomes loose. It needs to be treated quickly to stop it permanently affecting your sight. […] You’ll be referred to hospital for surgery if tests show your retina may be detached or has started to come away (retinal tear). […] Surgery to re-attach the retina or fix a retinal tear may involve: […] It’s usually done with local anaesthetic, so you’re awake but your eye is numbed. […] Recovery time after surgery for a detached retina varies. But as a general guide, for 2 to 6 weeks after surgery: […] A detached retina is usually caused by changes to the jelly inside your eye, which can happen as you get older. This is called posterior vitreous detachment (PVD). […] You can get a detached retina more than once. Get medical help as soon as possible if the symptoms come back.
  • #2 Retinal Detachment: Symptoms & Causes
    https://my.clevelandclinic.org/health/diseases/10705-retinal-detachment
    Retinal detachment is a medical emergency even though it’s painless and happens when your retina pulls away from supporting tissue in your eye. […] You need an eye exam to diagnose retinal detachment. Your eye care provider will use a dilated eye exam to check your retina. […] Your provider may recommend other tests after the dilated eye exam. These tests are noninvasive. They won’t hurt. They help your provider see your retina clearly and in more detail: […] After treatment for a detached retina, you may have some discomfort. It can last for a few weeks. Your provider will discuss pain medicine and other forms of relief. […] If you notice detached retina symptoms a sudden increase in eye floaters, flashes of light or darkening of your vision get care right away. Call your eye care provider or go to the emergency room. You’ll need some type of surgery to fix a detached retina. Waiting even days for treatment could mean permanent loss of vision.
  • #2
    https://www.aao.org/eye-health/diseases/detached-torn-retina
    A detached retina is when the retina lifts away from the back of the eye. A detached retina is a serious problem. An ophthalmologist needs to check it out right away, or you could lose sight in that eye. […] Your ophthalmologist will put drops in your eye to dilate (widen) the pupil. Then they will look through a special lens to check your retina for any changes. […] A detached retina has to be examined by an ophthalmologist right away. Otherwise, you could lose vision in that eye.
  • #2 Retinal Detachment: Symptoms, Causes and Treatment – All About Vision
    https://www.allaboutvision.com/conditions/retinal-detachment/overview-of-detached-retina/
    Retinal imaging and scanning may also be performed to provide your doctor with a better view of your retina. This may include: Optical coherence tomography (OCT), Ophthalmic ultrasound, Computed tomography (CT) scan, Magnetic resonance imaging (MRI), Wide-angle retinal photography. […] If a detached retina is detected, your eye doctor may refer you to a retina specialist. A retina specialist is an ophthalmologist who has advanced training in the diagnosis, treatment and management of retinal diseases.
  • #2 Evaluation and Management of Suspected Retinal Detachment | AAFP
    https://www.aafp.org/pubs/afp/issues/2004/0401/p1691.html
    The direct (hand-held) ophthalmoscope is useful to detect an altered red reflex sometimes associated with retinal detachment. […] Ophthalmologists use indirect examination techniques that greatly enhance visualization of the peripheral fundus. […] Surgical correction of retinal detachment aims to relieve vitreoretinal traction, and close retinal tears and holes. […] Therefore, surgical repair is indicated more urgently in patients with preserved central acuity, less urgently in patients whose macula detached in the previous hours to days, and routinely in those whose macula has been detached for several days or weeks.
  • #2 Retinal Detachment
    https://www.asrs.org/retinaldetachment
    When the retina is detached from the back wall of the eye, it is separated from its blood supply and no longer functions properly. […] Your retina specialist will perform a detailed eye exam, including a careful examination of the peripheral retina. This may include pushing on the outside of the eye (scleral depression) to view the far most peripheral retina to identify any retinal breaks that will need to be treated. […] Photographing the retina is sometimes performed to document the extent of the detached retina, and an optical coherence tomography (OCT) scan of the retina can be useful to determine whether fluid has detached the center of the retina (the macula). […] When a clear view of the retina cannot be obtained by direct visualization, an ultrasound of the eye can be helpful.
  • #2 Retinal Detachment – Eye Disorders – Merck Manual Professional Edition
    https://www.merckmanuals.com/professional/eye-disorders/retinal-disorders/retinal-detachment
    Retinal detachment is separation of the neurosensory retina from the underlying retinal pigment epithelium. […] Diagnosis is by funduscopy; ultrasonography may help determine the presence and type of retinal detachment if it cannot be seen with funduscopy. […] Retinal detachment should be suspected in patients, particularly those at risk, who have any of the following: Sudden increase or change in floaters, Photopsias, Curtain or veil across the visual field, Any sudden, unexplained loss of vision, Vitreous hemorrhage that obscures the retina. […] Indirect ophthalmoscopy shows the retinal detachment and can differentiate the subtypes of retinal detachment in nearly all cases. […] If vitreous hemorrhage (which may be due to a retinal tear), cataract, corneal opacification, or traumatic injury obscures the retina, retinal detachment should be suspected and B-scan ultrasonography should be done.
  • #2 Complex Retinal Detachment
    https://www.asrs.org/patients/retinal-diseases/34/complex-retinal-detachment
    Viewing the retina with an indirect ophthalmoscope while the doctor applies gentle pressure to the eye (scleral depression) is the primary method for diagnosing retinal detachment. […] When view of the retina is obscured (blocked) by blood or dense cataract, B-scan ultrasonography can be used to determine the location and extent of a retinal detachment. […] To confirm whether there is subretinal fluid in the macula, optical coherence tomography (OCT) may be used.
  • #2 Retinal Tear & Detachment Surgery in Colorado | Denver Metro Area
    https://www.retinacolorado.com/retinal-care/retinal-tear-retinal-detachment
    The typical symptoms of a retinal detachment include floaters, flashing lights, and a shadow in the peripheral vision that can move toward the center of vision. […] A Colorado Retina specialist will perform a detailed eye exam including a careful examination of the peripheral retina. This may require pushing on the outside of the eye to view the far peripheral retina where tears are likely to occur. Photographing the retina is sometimes performed to document the extent of the detached retina, and an optical coherence tomography scan of the retina can be useful to determine whether fluid has reached the center of the retina. […] Early treatment can usually prevent permanent vision loss and blindness.
  • #2 Retinal Detachment Workup: Laboratory Studies, Imaging Studies
    https://emedicine.medscape.com/article/798501-workup
    Laboratory tests are not helpful in detecting retinal detachment and are not warranted in the acute care of the patient. However, if the patient requires surgical intervention, it may be useful to have basic blood work (BMP, PT/PTT, INR, HbA1C). This is especially important in diabetics and those on systemic anti-coagulation. […] Unless globe rupture, orbital/facial bone fractures or intraocular foreign bodies are suspected, imaging techniques, such as CT scans or MRIs, are not warranted to evaluate for retinal detachments. […] In difficult cases, bedside ocular ultrasonography can facilitate prompt diagnosis of retinal detachment. Potential ultrasonographic mimics of retinal detachment (eg, posterior vitreous detachment [PVD] and vitreous hemorrhage [VH]) should be excluded.
  • #2 Retinal Detachment | Symptoms | Eye Associates & SurgiCenter | NJ
    https://sjeyeassociates.com/retinal-detachment-vineland/
    Retinal detachment is a painless site threatening eye problem. A detached retina is when the retinal lifts away from the back of the eye. The retina does not work when it is detached, making vision blurry. […] The key is to preserving vision is to recognize these warning signs and symptoms and scheduling quick diagnosis and treatment. Warning signs and symptoms of retinal detachment may include: […] Rhegmatogenous Retinal Detachment is the most common type of retinal detachment. […] Exudative Retinal Detachment may occur due to inflammation, injury or a Retinal Vascular Disease that causes fluid accumulation underneath the retina without the presence of a retinal hole or retinal tear. […] Tractional Retinal Detachment may occur when fibrous or fibrovascular scar tissue has been formed on the retina as a result of an injury, inflammatory disease or the presence of neovascularization, such as in Diabetic Retinopathy.
  • #2 Retinal Detachment – StatPearls – NCBI Bookshelf
    https://www.ncbi.nlm.nih.gov/books/NBK551502/
    The prognosis of RD varies significantly on the type of detachment and patient presentation. For an RRD, one of the most essential prognosticating factors is whether or not the macula remains attached. […] Excellent communication among allied health professionals working as an interprofessional team is essential to treating patients with RD, especially since patient outcomes can be time-sensitive.
  • #2 Retinal detachment – symptoms and treatment | healthdirect
    https://www.healthdirect.gov.au/retinal-detachment
    Retinal detachment is a medical emergency. If you think you have a retinal detachment, go to an emergency department immediately or call triple zero (000) and ask for an ambulance. […] A retinal detachment is diagnosed with an eye examination with an optometrist or ophthalmologist (eye specialist). They will ask you questions and check your eyes. Your doctor may use drops to dilate (widen) your pupil, so they can see your retina better. […] If you notice symptoms of a retinal detachment or have any new vision problems, call an ambulance or go to the closest emergency department. It’s important to have your eyes checked as soon as possible.
  • #2 Evaluation and Management of Suspected Retinal Detachment | AAFP
    https://www.aafp.org/pubs/afp/issues/2004/0401/p1691.html
    Retinal detachment often is a preventable cause of vision loss. […] Patients typically will present with symptoms such as light flashes, floaters, peripheral visual field loss, and blurred vision. […] Patients with acute onset of flashes or floaters should be referred to an ophthalmologist. […] Retinal detachment should be considered in the differential diagnosis of vision loss, however, because it is more prevalent in defined subpopulations and may require urgent surgical repair. […] A careful history helps to distinguish retinal detachment from other conditions with similar symptoms. […] Prompt referral and evaluation of patients who are suspected of having retinal tears are important because treatment of retinal tears is highly effective in preventing retinal detachment. […] All patients with acute onset of flashes or floaters should be referred to an ophthalmologist.
  • #2 Retinal detachment | Radiology Reference Article | Radiopaedia.org
    https://radiopaedia.org/articles/retinal-detachment?lang=us
    Retinal detachment is often associated with: […] Retinal detachments are classified as rhegmatogenous, meaning caused by a tear (rhegma) in the retina, or non-rhegmatogenous. […] Imaging is usually not required unless a specific underlying cause, such as metastasis is in the differential. […] Treatment is varied and beyond the scope of this article, but in general terms requires reattachment of the retina using intraocular gas, laser, cryotherapy or surgery. […] Improved prognosis and surgical outcomes are seen with macula-on retinal detachments where the fovea is still attached.
  • #2 Retinal detachment I Eye condition information | RNIB
    https://www.rnib.org.uk/your-eyes/eye-conditions-az/retinal-detachment/
    A retinal detachment can be repaired with surgery, but it needs to be detected and treated quickly, or it can cause sight loss in the affected eye. […] A retinal detachment is an emergency. It needs to be assessed as soon as possible so that your ophthalmologist (hospital eye doctor) can make decisions about your treatment. […] If your retinal detachment isn’t treated, then you are likely to lose all the vision in the affected eye. […] Once your ophthalmologist has examined your eye, they will decide how quickly surgery needs to be done this may be within 24 hours or within a few days. […] Surgery is usually very successful at reattaching the retina, but how well your vision recovers depends on: how much of your retina detached, if your macula (the central part of your retina, used for seeing detail and reading) was detached, how long your retina was detached, if you have another eye condition, such as diabetic retinopathy.
  • #2 Retinal Detachment and Retinal Tears Treatment Experts, Assil Gaur Eye
    https://assileye.com/eye-care/retinal-tears-and-retinal-detachment
    Diagnosing a retinal tear requires an eye exam of the retina through a dilated pupil. Our doctor may use an instrument with a bright light and special lenses to examine the back of your eye, including the retina. […] If you have symptoms of a retinal tear, it is vital to see our ophthalmologists or retinal specialist immediately. […] Almost all patients with retinal detachment will need surgery to place the retina back in its proper position. The good news is that 90% of retinal detachment surgeries are successful with a single operation. […] While the laser procedure can treat a retinal tear, it cannot be used to repair an already detached retina that is no longer in contact with the eyewall. […] Three outpatient surgical options are available for repairing detached retinas, and the type of surgery is determined by a retinal specialist based on the specific condition of each detachment.
  • #2 Retinal Detachment Types, Causes, Symptoms, and Treatments | UPMC
    https://www.upmc.com/services/eye/conditions/retinal-detachment
    A detached retina is a medical emergency and can lead to blindness. […] To diagnose retinal detachment, your doctor will use some form of retinal imaging and other methods, such as: A dilated eye exam. Your doctor will give you eye drops to widen your pupil to get a better view inside your eye. They may press on your eyelids to check for retinal tears. […] How do you diagnose a detached retina? […] Your doctor will ask about your personal and family health history and symptoms. […] An ultrasound. This test uses high-frequency sound waves to pick up signs of retinal detachment. […] An optical coherence tomography scan. This test takes highly detailed pictures of your retina using light waves. […] The eye specialists at the UPMC Vision Institute are experts at treating detached retinas.
  • #2 Retinal Detachment – StatPearls – NCBI Bookshelf
    https://www.ncbi.nlm.nih.gov/books/NBK551502/
    Retinal detachments (RDs) constitute a severe ocular condition that can lead to permanent vision loss. […] Prompt diagnosis and treatment are essential to avoid significant morbidity associated with RD. This activity outlines the evaluation and management of retinal detachments and highlights the role of the interprofessional team in evaluating and treating patients with this condition. […] Any patient with suspected RD should undergo a dilated fundoscopic examination with an indirect ophthalmoscope and indentation by an ophthalmologist or optometrist. Other modalities to assist in the diagnosis of RD include ultrasound, CT (computed tomography) scan, and MRI (magnetic resonance imaging). […] Management of RRD and TRD is typically surgical. Exudative macular detachments usually have nonsurgical management. The recommendation includes having the patient work with a retinal specialist or an ophthalmologist with additional training in the evaluation and surgical treatment of the posterior portion of the eye.