Presentation
No other signs or symptoms of Stickler syndrome is present. [orpha.net]
Tan Aik Kah A 40 year-old woman presented with a 4-week history of worsening left vision. VA was 6/6 in the right eye and hand movement in the left eye. [meduweb.com]
[…] at the tertiary care center and possibility of most patients presenting at a later stage. [jcor.in]
The abstract of this paper was presented in September 2018 at the Retina Society annual meeting as a podium presentation with interim findings. [dovepress.com]
Most patients presenting with an RD report recent positive visual phenomenon despite the detachment’s onset possibly being weeks to months prior to the presentation of symptoms. [reviewofoptometry.com]
Entire Body System
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Falling
He noted this following a fall of foreign body in his left eye while welding. He was asymptomatic in his right eye. He had no complain of floaters or flashes in either eye. There was nothing significant in his past ophthalmic and family history. [nature.com]
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Fishing
Scleral buckle advocates have stated that pneumatic retinopexy often causes PVR, but they manage “fish-mouthing” in scleral buckling with gas injection. This is not rational. [eyeworld.org]
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Amyloidosis
Retinal Detachment and Macular Hole This photo exhibits a bullous retinal detachment with multiple retinal folds in a patient with amyloidosis. A macular hole accounts for the detachment (inset), as no peripheral retinal tears were seen. [entokey.com]
Eyes
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Visual Impairment
Barriers to accessing eye care services among visually impaired populations in rural Andhra Pradesh, South India. Indian J Ophthalmol 2007;55:365-71. [ PUBMED ] [Full text] 17. Awan H, Malik SM, Khan NU. [jcor.in]
In the future, the continuous evolution of vitreous surgery might reduce the visual impairment in uveitis patients who develop RRD. [joii-journal.springeropen.com]
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Retinal Cyst
cysts, and the management of rhegmatogenous retinal detachment by vitreoretinal techniques. [encyclopedia2.thefreedictionary.com]
There is also a giant retinal cyst inferotemporally (arrows). Chronic Retinal Detachment with Retinal Macrocyst A very prominent macrocyst was noted in conjunction with a low lying retinal detachment ( top row ). [entokey.com]
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Prolapse
No eyes had vitreous or retinal prolapse external to the sclerotomy site, incarcerations or dialyses on the intraocular side where the trocar had been placed. Two eyes developed choroidal detachment. [omicsonline.org]
Musculoskeletal
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Fracture
Long bone fractures were not randomized to sham therapy after casts were developed. [eyeworld.org]
Neurologic
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Excitement
The purpose of the column is to provide a forum for retina specialists to share informative and exciting tips or pearls with regard to specific vitreoretinal surgical techniques, diagnostics, or therapeutics. [retinatoday.com]
Treatment
The treatment must also take aim at future traction development: hence the need to remove the anterior hyaloid face. [evrs.eu]
In the present study of 517 operations, PPV treatment was performed in 65.8% and SB treatment in 33.9%. [onlinelibrary.wiley.com]
Patients were informed about the safety and efficacy of the treatment and provided their free and informed consent after discussing the risks and benefits of surgical treatment (pneumatic retinopexy, scleral buckle, and posterior vitrectomy). [scielo.br]
Treatment If the retinal detachment is diagnosed very early, it may be repaired with a laser treatment in a retina clinic. More advanced retinal detachments must be repaired with outpatient surgery. [retinaandmacula.com]
We identified no studies investigating the comparison of pneumatic retinopexy versus a combination treatment of scleral buckle and vitrectomy. [cochrane.org]
Prognosis
Prognosis Retinal detachments often cause some degree of permanent visual field or central visual acuity loss, even after successful retinal reattachment. [potomacretina.com]
Also look for features that might affect management and prognosis, such as coexisting vitreous hemorrhage and PVR. [aao.org]
Our results further highlight the poor prognosis of uveitic RRD and the need for improved management of such cases. References 1. [joii-journal.springeropen.com]
Subclinical retinal detachment resulting from asymptomatic retinal breaks: prognosis for progression and regression. Ophthalmology. 2001;108(8):1499-503; discussion 1503-4. [ Links ] 7. Vrabec TR, Baumal CR. [scielo.br]
Improved prognosis and surgical outcomes are seen with macula-on retinal detachments where the fovea is still attached 5. Macula-off, or central retinal detachments have worse initial visual acuity and prognosis. [radiopaedia.org]
Etiology
Epidemiology and Etiology All non-exudative and non-tractional RDs originate from a retinal defect. [reviewofoptometry.com]
Trauma seems to be the most likely a etiology in our case. We believe that this is the first case ever reported with simultaneous bilateral inferotemporal rhegmatogenous retinal detachment secondary to dialysis with multiple retinal breaks. [nature.com]
[…] autosomal dominant RRD families without systemic abnormalities. 26 Although genetic susceptibility to RRD appears to be present in specific families, it is currently unknown whether RRD occurring in a general population has a genetic etiology. [jamanetwork.com]
Etiology Rhegmatogenous retinal detachments are caused by a tear or a hole in the retina.The pathogenesis of retinal breaks which cause rhegmatogenous retinal detachments include the development of posterior vitreous detachment (PVD) which may cause retinal [ijo.in]
Etiology Type of retinal detachment Rhegmatogenous retinal detachment Non-rhegmatogenous retinal detachment Tractional retinal detachment Exudative retinal detachment Mechanism Most common type Retinal tears retinal fluid, which is formed by vitreous [amboss.com]
Epidemiology
Epidemiology. Acta Ophthalmol (Copenh). 1987, 65: 213-222. 12. Algvere PV, Jahnberg P, Textorius O: The Swedish Retinal Detachment Register. I. A database for epidemiological and clinical studies. [bmcophthalmol.biomedcentral.com]
Epidemiology. Acta Ophthalmol (Copenh). 1987 Apr. 65(2):213-22. [Medline]. Sasaki K, Ideta H, Yonemoto J, Tanaka S, Hirose A, Oka C. Epidemiologic characteristics of rhegmatogenous retinal detachment in Kumamoto, Japan. [emedicine.medscape.com]
Ivanisevic MBojic LEterovic D Epidemiological study of nontraumatic phakic rhegmatogenous retinal detachment. Ophthalmic Res 2000;32237- 239 PubMed Google Scholar Crossref 11. [jamanetwork.com]
Epidemiology of retinal detachment. Arch Ophthalmol. 1982; 100 :289–292. [ PubMed ] [ Google Scholar ] E9. Wong TY, Tielsch JM, Schein OD. Racial difference in the incidence of retinal detachment in Singapore. [ncbi.nlm.nih.gov]
Epidemiologic studies have identified myopia and prior cataract surgery as the main risk factors. Persons in the sixth and seventh decades of life are most commonly affected. [aerzteblatt.de]
Pathophysiology
Posted by on Apr 23, 2018 in 1-Thursday, August 30, 2018, 2018 EVRS Congress – Prague Comments Off on Rhegmatogenous Retinal Detachment: Pathophysiology and Its Implications for Treatment Course ABSTRACT Contrary to popular dogma, the most important element [evrs.eu]
Improvements in surgical techniques coupled with a better understanding of the pathophysiology of rhegmatogenous retinal detachment continue to improve the anatomic and functional success of retinal detachment repair. [ijo.in]
[…] types and the pathophysiology is slightly different. [painepodcast.com]
Pre-eclampsia Hypertension Bleeding disorders Polyarteritis nodosa Ocular diseases Sudden decrease in intra-ocular pressure due to perforating injuries or intraocular surgery Retinoblastoma Malignant melanoma of the choroid References: [1] [2] [3] [4] [5] [6] Pathophysiology [amboss.com]
Here are the principles of RRD, including pathophysiology, symptomatology, clinical findings and surgical management. Fig. 1. [reviewofoptometry.com]
Prevention
Prevention and Treatment If a retinal break or tear is detected before there is retinal detachment, laser or cryotherapy (freezing) to the retinal tear is often successful in sealing the tear and preventing a retinal detachment. [potomacretina.com]
The patient with the failed pneumatic retinopexy was a young person with childcare and work obligations, which prevented compliance with positioning recommendations. [retinatoday.com]
Prevention Some underlying eye conditions are known to have a higher incidence of retinal detachment. In many cases, a laser treatment to weak or compromised areas of the peripheral retina may reduce the risk of retinal detachment. [retinaandmacula.com]
[…] aqueous egress back through retinal defects and prevents retinal re-detachment immediately after surgery to give the laser the time needed to form a strong chorioretinal scar. [reviewofoptometry.com]
Preventive laser treatment and encirclement can be used in individuals with a known high risk of RRD. [jamanetwork.com]