Doctor insights on:
Operculated Retinal Hole
Yes: Most common procedure to repair a retinal detachment resulting from a macular hole is a vitrectomy (remove the fluids from the back of the eyeball), replace it with a gas, and position the patient face down for some period of time (sometimes weeks) to allow the hole to close and the detachment to resolve. Most macular holes do not cause a detached retina, but many require a similar operation. ...Read moreSee 1 more doctor answer
Retinal detachemnt: Retinal detachment is a detachment of the retina from the inside of the eye. The portion of retina that is detached leaves the vision completely black in the detached area. Retinal detachment is usually caused by a peripheral hole/tear of the retina. A macular hole is a hole in the center of the macula, the portion responsible for central vision causing varying degrees of loss. ...Read moreSee 2 more doctor answers
Why do post-cataract surgery retinal detachments occur? Is there some retinal pulling involved from posterior vitreous detachment (pvd)?
Destabilization: The natural lens and its supports stabilize the front of the eye and vitreous. Removal of the thick natural lens and substitution with a thin artificial lens, increases the chance for the vitreous to move in ways that can destabilize the attachments of the vitreous over the retina. If there are weak places, this can increase the chance of detachment, even in the best of cataract surgeries. ...Read moreSee 1 more doctor answer
Unfortunately yes: Retinal detachment often disrupts the supply of blood to the retina. This can result in loss of pressure control, glaucoma and optic nerve damage. Rd surgery often involves a vitrectomy, removal of the vitreous humor from the eye. Optic nerve damage can result from such surgery. Caught and appropriately treated early, rd should not result in damage to the optic nerve. ...Read more
During posterior vitreous detachment, the vitreous separates from the macula first or peripheral retina or no preference?
Generally peripheral: Vitreous degeneration, the conversion of the vitreous gel into a dense syrup, usually starts peripherally and eventually involves the center including the macula. In most cases it is a benign and normal event but if adhesions exist, then the retinal can lift up and tear or become detached. ...Read more
Can vision be fully restored after a corneal laceration/penetrating eye injury(involving deeper layers of cornea) ,but not a globe rupture?
Vision restored: Yes but depends on what is going on in more detail. ...Read more
Are retina lattice regions associated with very tiny holes always?I saw 3 retinal docs:2 found only lattice(no holes) and 1 saw tiny holes present.
No: Lattice is an indication of stress at the site where it is found. Stress of this type is usually the retina stretching at that point; the retina lays down pigment which is its way of glueing itself to the underlying tissue. Holes are sometimes the stimulus for making lattice and holes can also be produced by stress at the lattice point- usually in older patients over 50 or so. ...Read more
Opth diagnosis of few vitreous floaters ou & no posterior vitreous detach noted ou. What is the difference between floaters and pvd? Same prognosis?
Floaters and pvd: Floaters are "things" in the vitreous cavity that you can see floating in your vision. The "things" can be blood, inflammatory cells, parasites, or most commonly, clumps of the normal vitreous material. A posterior vitreous detachment is when the back of the vitreous becomes separated from the retina. A PVD is usually accompanied by floaters. ...Read moreSee 2 more doctor answers
Wouldnt pars plana vitrectomy reduce the risk of retinal tears or detachments due to vitreoretinal traction for someone with lattice and vitr degen?
If posterior vitreous detachment happen in yung high myopic like me without retinal tear, is der a chance of future retinal tear due 2 cataract/glucoma?
Higher: The risk is probably 10 x greater than a patient without these characteristics. Risk ia about 1/1000 unless you have a family history. Having glaucoma and a cataract do not increase this risk. Having cataract surgery does increase the risk of retinal tears. You should talk your eye md. ...Read moreSee 1 more doctor answer
Does doing a laser retinopexy around areas of lattice degeneration reduce the risk of tractional tears ensuing from posterior vitreous detachment?
Yes,it should reduce: Yes, the decision for retinopexy is best made by retina subspecialist who can assess whether the degree of lattice ; or the presence of high risk thinning would warrant the risks. Retinopexy creates a tighter bonding so that in event of PVD there is lower likelihood of retinal tears. ...Read more
Lattice degeneration: Is typically congenital or developmental. Lasik would not cause lattice. There are a variety of retinal holes but it would be uncommon for non-invasive ocular surgery to actually cause a hole. Retinal holes may worsen with surgery and should be evaluated by your retina specialist prior to ocular surgery. ...Read more
Can anyone tell me is vitreous detachment after a retinal detachment surgery risking another retinal detachment?
Unusual: Most retinal detachments are preceded by a vitreous detachment. There are some exception, however those are uncommon or rare. As such, it is unlikely to have a vitreous detachment following retinal re-attachment surgery. If there was no vitreous detachment prior to retina re-detachment surgeyr, and no vitrectomy was done, a vitreous detachment could occur with it's risks. ...Read more
Diagnosed w/glaucoma. Opthomologist said no peripheral vision loss. No optic nerve damage but the nerve tissue has thinned. How serious is that?
Yes: If a retinal vein breaks open, the blood within will push around the retina, could escape into the vitreous causing visual disturbance and might lead to a blockage of the vein which could also affect vision. If this is suspected, a retinal specialist should be seen immediately to diagnose and treat this. ...Read more
Visual changes: When the retina tears (usually leading to retinal detachment) you will experience light flashes and streaks even with the eyes shut, large quantities of floaters, a pattern of veins like the veins on a leaf in your view and a greying out of the vision. As it advances the vision drop it is not painful so that is not a clue. If you have any or all of these, you need to see an ophthalmologist pronto. ...Read more
Surgery now!: If your retina is detached, time is vision! The sooner your retina is repaired the more likely you are to regain vision lost, or prevent permanent vision loss. Not every detachment is the same. Some retinal detachments can be fixed with an in-office procedure. Don't delay! ...Read more
Age: The vitreous jelly changes as we age and it pulls away from the back of the eye (retina) - a posterior vitreous detachment. During this process, if the jelly pulls hard enough on the retina (especially in a thin or weak area) it can tear the retina which can subsequently detach. Other risk factors include myopia, cataract surgery, head/eye trauma, family history, lattice degeneration, etc. ...Read more
Retinal traction: Most retinal rears are caused by traction on the retina by the vitreous gel, sometimes in association with weaknesses in the retina related to high eye nearsightedness, retinal injuries, old retinal scarring, etc. As the eye ages, the vitreous gel naturally liquifies and detatches from the retina, a posterior retinal detachment. Residual areas of traction can cause retinal tears/detachment. ...Read more
Depends: If you have a retinal hole, there is a risk that a detachment of the retina might start at that point. If you know about such a hole, someone must have evaluated you and hopefully advised you of the risks. These are sometimes surrounded with laser hits to attach the retinal well. Some holes are incomplete (requires skilled scleral depression) and may not need treatment. ...Read more
Flashes and floaters: The warning signs for a retinal tear are flashes of light (like a streak of lightening) and a sudden increase in floaters. This needs to be checked as tears are, relatively, easily treated, retinal detachments are much more involved. Untreated tears can become detachments. ...Read moreSee 1 more doctor answer
Vitrectomy : The macula is the central part of the retina that gives us our ability to read and see fine detail. Epiretinal membranes tend to grow over the macula, contract &thus wrinkle our macula. This produces a wrinle in the macula that "puckers" it. Hence the term "macular pucker." vitrectomy surgery removes epiretinal membranes & reduce symptoms in advanced cases, with diminished vision & distortion. ...Read moreSee 3 more doctor answers
Fairly rare: Do you have symptoms suggestive of a retinal tear or detachment? If so, get a complete eye exam immediately to rule these out. Symptoms include a new onset of floaters or flashing lights in the vision, a loss of vision, a loss of peripheral vision, a sensation of a curtain coming over the vision, "cobwebs" in the vision, etc. Retinal tears and detachments are otherwise rare but treatable. ...Read more
Quite variable: If you have a retinal detachment than exercise that lead to significant valsalva(abdominal straining) like heavy squats/resistance training or inverted exercises(like hand stands) probably should be avoided. But in the case of macular degeneration exercise is usually encouraged to help to stave of progression. ...Read more
See below: Flashes, floaters, and/or loss of peripheral vision (like a curtain or veil obscuring your vision) indicate a need for an urgent dilated retinal examination to rule out a retinal tear or detachment. Rarely, one can have a retinal tears without any symptoms. ...Read moreSee 1 more doctor answer
Sat. Pm-have symptoms of retinal tear. What should I do--or not do until i can see dr. On monday?
Even though some small retinal tears don't cause detachment, if a small tear was to cause one, how long would it take, what's the average time?
Retinal tears: Time till detachment depends on many factors such as location, cause of tear, your age: can take minutes to never. Average depends on above but recommend treatment asap. ...Read more