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Home » Your Eye Health » Eye Conditions » Retinal Detachment

Retinal Detachment

A retinal detachment is a serious eye emergency in which the retina (the lining of the back of the eye) becomes separated and pulls away from the surrounding tissue. When the retina is out of place, the eye cannot properly process incoming light and if not fixed quickly, permanent vision loss can result.

The retina contains the light sensitive cells of the eye that convert light into neural impulses that communicate with the optic nerve and the brain, enabling visual processing. When the retinal cells become detached from the supportive tissue they no longer get the nourishment and support they need to function and in a relatively short period of time can suffer permanent damage.

Signs and Symptoms

A retinal detachment doesn’t hurt and can happen very suddenly with little warning. Signs that you may be experiencing this condition include sudden onset of floaters, spots, or flashes of light in the visual field. These symptoms may be accompanied by blurred vision, reduced peripheral or side vision and the sensation that there is a curtain coming down over your visual field from the top or side.

Causes and Risk Factors

Retinal detachment can be caused by an injury to the eye or face, as a result of diabetic retinopathy or very high nearsightedness (in which the retina is thinner than in normal eyes). It can also result from changes in the vitreous of the eye due to aging, eye or other systemic diseases or following an eye surgery.

Factors that put you at risk increased include:

  • Age- a retinal detachment is more common in adults 50 and over
  • Diabetes or Sickle Cell
  • Extreme nearsightedness
  • Eye surgery (such as cataract removal)
  • Eye or face injury
  • Family history
  • Eye disease or inflammation

Treatment for Retinal Detachment

Retinal detachment can be treated by a number of surgical procedures, the type of surgery depending upon the type and severity of the detachment. These procedures include:

Pneumatic retinopexy: In this procedure the doctor injects gas or silicone oil into the eye to push the retina back into place. This is usually done when the detachment is just started and is very mild in nature. The surgeon may then need to use other procedures to secure the retina into place such as photocoagulation which is a laser procedure or cryopexy which uses a frozen probe to reattach the tissue. While the gas will absorb into the body, the oil needs to be removed following the procedure.

Scleral buckling: This procedure involves indenting the outer surface of the eye toward the retina by attaching a soft piece of silicone around the sclera or white part of the eye. If necessary, this allows the surgeon to drain the fluids that have accumulated between the retina and the supportive tissue and then the retina is reattached using laser photocoagulation or cryopexy.

Vitrectomy: In this procedure the doctor removes the vitreous fluid in your eye which is the gel-like substance that may be causing the retina to detach. The retina can then be flattened using air, gas or oil. This procedure is often combined with scleral buckling as mentioned above.

Successful treatment for retinal detachment depends on a lot of factors including the severity of the detachment, the location and how quickly it was diagnosed and treated. Sometimes full vision is not restored. If you have risk factors for retinal detachment you should make sure that you get frequent eye exams and see your eye doctor immediately if you experience any changes in your vision.

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Update on COVID-19 (03/30/2020)

We wanted to thank you for your continued support of our office during this challenging time. We will continue to be open from 9:00am-1:00pm Monday through Friday to dispense contact lens and eyeglasses orders. We will also be able to order additional contact lenses for patients who may be running low.

While all routine eye care is still deferred during this time, we will remain available to triage eye emergencies. We will send out additional notifications as soon as it becomes possible to resume routine eyecare.

Please call or text us at (904)287-4567 or email us at cfec2@2drfishers.com with any questions for concerns.

*****CONTACT WEARERS*****

With the day to day changes surrounding COVID-19, we do not know how much longer we will be open to the public. With that being said, if you are a contact lens wearer, and currently have less than a 3 month supply of lenses, we highly recommend that you place an order now. We will offer free shipping on lenses directly to your home (with a minimum of 2 boxes). We will also extend contact lenses prescriptions, as needed, for those expiring within the next three months.

Please call or text us at (904)287-4567 or email us at cfec2@2drfishers.com.

Hours: As of March 30, we will be open from 9:00am – 1:00pm Monday through Friday only to dispense contact lens and eyeglass orders. We will have a doctor available to see ocular emergencies if needed.

Routine Eye Exams: If you are scheduled for a routine eye examination appointment during our closure, we will reschedule your appointment. As of March 30, 2020, we will begin rescheduling routine eye examination appointments for April 13th and later.

I need to replace my glasses. What do I do? Please contact us at (904)287-4567. We may be able to extend your prescription during this time and will help you with your eyewear needs.

I’m nearly out of contact lenses. What do I do? Please contact us at (904)287-4567. We may be able to extend your prescription during this time, and/or place an order for your contact lenses and have them shipped to your house (with a minimum of 2 boxes).

I need a refill on the medication prescribed to me by the practice. What do I do? Please contact us at (904)287-4567 or cfec2@2drfishers.com. We can transmit a refill for your prescription directly to your pharmacy so that you have the medication that you need.

I need to pick up my order. What do I do? We will be open from 9:00am – 1:00pm Monday through Friday only to dispense contact lens and eyeglass orders.

I don’t feel comfortable coming into the office to pick up my order. What do I do? Please contact us at (904)287-4567 and we can bring your contact lens or glasses order out to your car. Since we are working with reduced staff, please allow us extra time for curbside pick-up. Also, when you place your contact lens order, you can elect to have them shipped to your home.

What about an eye emergency after your shortened business hours? What can I do? If you have an ocular emergency, please call (904)287-4567 and wait for instructions at the end of the message.

Our doctors will do their best to accommodate your needs whenever possible during this time. We have reduced our staff hours until further notice to protect them, our patients, our community, and our nation. Despite the financial and emotional hardships this will cause, we ask every one of you to do the same.

Together, we will weather this storm.