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Retinal detachment is a condition where the retina pulls away from the tissue underneath it. [1] [2] [3] It may start in a small area, but without quick treatment, it can spread across the entire retina, leading to serious vision loss and possibly blindness. [4] Retinal detachment is a medical emergency that requires surgery. [2] [3]
Nyctalopia (/ ˌ n ɪ k t ə ˈ l oʊ p i ə /; from Ancient Greek νύκτ-(núkt-) 'night' ἀλαός (alaós) 'blind, invisible' and ὄψ (óps) 'eye'), [1] also called night-blindness, is a condition making it difficult or impossible to see in relatively low light. It is a symptom of several eye diseases.
Peripheral (posterior) vitreous detachment occurs when the gel around the eye separates from the retina. This can naturally occur with age. However, if it occurs too rapidly, it can cause photopsia which manifests in flashes and floaters in the vision. Typically, the flashes and floaters go away in a few months.
The retina contains two types of photoreceptor – rod cells and cone cells. There are about 6-7 million cones that mediate photopic vision, and they are concentrated in the macula at the center of the retina. There are about 120 million rods that are more sensitive than the cones and therefore mediate scotopic vision.
Retinal detachment should be considered if there were preceding flashes or floaters, or if there is a new visual field defect in one eye. [2] [3] If treated early enough, retinal tear and detachment can have a good outcome. [2]
Retinal detachment frequently presents with unilateral visual field defects, blurring of vision, flashes of light, or floating spots. [ citation needed ] The risk of retinal detachment was estimated as about 0.4% within 5.5 years, corresponding to a 2.3-fold risk increase compared to naturally expected incidence, with older studies reporting a ...
Dark adaptation of both rods and cones requires the regeneration of the visual pigment from opsin and 11-cis retinal. [13] Therefore, the time required for dark adaptation and pigment regeneration is largely determined by the local concentration of 11-cis retinal and the rate at which it is delivered to the opsin in the bleached rods. [14]
The risk of retinal detachment is the greatest in the first 6 weeks following a vitreous detachment, but can occur over 3 months after the event.. The risk of retinal tears and detachment associated with vitreous detachment is higher in patients with myopic retinal degeneration, lattice degeneration, and a familial or personal history of previous retinal tears/detachment.