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Retinal detachments are divided into three main types based on their distinct causes. [6] Rhegmatogenous retinal detachment is caused by a tear or break in the retina. [6] [9] This allows vitreous humor, the fluid that normally sits in the center of the eye, to build up behind the retina.
A tear in the retina can allow fluids from the eye to leak in behind the retina, which causes retinal detachment. When this occurs, blood from the retinal blood vessels can bleed into the vitreous. [4] Retinal tear accounts for 11.4–44% of vitreous hemorrhage cases. [1]
Retinal tufts increase the risk of a retinal tear or a detached retina, although the risk is not high- 1% of tufts are thought to lead to retinal detachment. [2] [6] In addition if there is retinal thinning near a zonular traction tuft, there is an increased risk of retinal detachment. [5]
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.
Retinal hemorrhage (UK English: retinal haemorrhage) is a disorder of the eye in which bleeding occurs in the retina, the light sensitive tissue, located on the back wall of the eye. [1] There are photoreceptor cells in the retina called rods and cones , which transduce light energy into nerve signals that can be processed by the brain to form ...
Sometimes other retinal problems (such as tears, breaks, or holes) may be present along with lattice degeneration. However, these problems may also be distinct from or independent of lattice degeneration itself. The cause of lattice degeneration is unknown, but pathology reveals inadequate blood flow resulting in ischemia and fibrosis.
During rhegmatogenous retinal detachment, fluid from the vitreous humor enters a retinal hole. The mechanisms by which retinal holes or tears form are not fully understood yet. The accumulation of fluid in the subretinal space and the tractional force of the vitreous on the retina result in rhegmatogenous retinal detachment.
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.