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Retinal Detachment and Vitreo-Retinal Surgery

When patients are told they have a retinal detachment they are naturally concerned about what this may involve. Often they worry about whether they will lose their sight, or, if they have lost any sight whether they will recover it. These are normal reactions and we hope this booklet answers any questions these anxieties may raise

The Retina

The retina is the light sensitive tissue layer at the back of the eye which transmits the messages of the light rays along the optic nerve to the brain where understanding of what is seen takes place. Light rays enter the eye through the transparent (clear) cornea then pass through the pupil in the centre of the iris (coloured part of the eye). Light must pass through the lens and vitreous (a jelly-like substance) before reaching the retina.

What is a retinal detachment ?

When a retinal detachment develops a separation occurs between the retina and the underlying inner wall of the eye. This is similar to wallpaper peeling off a wall. The part that is detached (peeled off) will not work properly. The picture that the brain receives becomes patchy or may be lost completely. An operation is necessary to replace the detached retina in it's proper position.

People often describe seeing "something black" or "a curtain", "cobweb" or "flashing lights". In older persons these do not necessarily indicate a serious problem. But the sudden appearance of floaters and flashes requires a full eye examination to exclude the presence of retinal holes or tears.

Nearly all retinal detachments develop because of a hole or tear in the retina. This usually occurs when the retina becomes 'thin' especially in short sighted people or if the vitreous separates from the retina. Other eye or health problems such as diabetes, after cataract operation and injury such as a blow to the eye can occasionally be the cause of a retinal detachment.

If I have a detached retina in one eye will I get it in the other?

For some people with a retinal detachment in one eye there is a greater possibility of this happening in the other eye. Any symptoms demand a prompt eye examination by an ophthalmologist (eye doctor). Both eyes will be examined and preventive treatment may be recommended.

 

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