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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]
Recently, central serous chorioretinopathy has been understood to be part of the pachychoroid spectrum. [5] [6] In pachychoroid spectrum disorders, of which CSR represents stage II, the choroid, the highly vascularized layer below the retina, is thickened and congested with increased blood vessel diameter, especially in the deep choroid (the so-called Haller's layer).
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.
The American Academy of Ophthalmology notes though retinal detachment is associated with lattice degeneration, lattice degeneration is not as strongly associated with or predictive of retinal detachment, with one study finding a low overall risk of developing retinal detachment at around 0.3–0.5%. [2]
In its most severe form, ROP causes retinal detachment, with attendant visual loss. Treatment is aimed mainly at prevention, via laser or Avastin therapy. Stargardt's disease; Uveitis: is a group of 30 intraocular inflammatory diseases [70] caused by infections, systemic diseases, organ-specific autoimmune processes, cancer or trauma. [71]
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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]
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