Retinal detachment – symptoms, cause and therapy
The disease in focus
The so-called retinal detachment is one of the eye diseases that can lead to blindness in the worst case. As first symptoms of retinal detachment can usually be Flashes of light or black dots perceive. The stronger the retina (also called retina) is detached, the stronger the recognizable symptoms, which become more massive with increasing detachment.
The causes of retinal detachment can be relatively different, mostly it is
- a crack
- a train
- or a liquid deposit.
Especially various problems such as myopia, diabetes, cataracts (also known as cataract), tumors or inflammation can increase the risk of retinal detachment.
Retinal detachment, cataract, macula and co.?
Who perceives complaints with the eyesight, certainly does not think at the first moment of a detachment of the retina. In many cases, it is a “harmless” short-sightedness and hyperopia or normal presbyopia. But also
and other eye diseases can be the cause of vision problems. In the cataract patients sometimes see double and more like a veil. General eye deterioration can also occur due to green star (glaucoma) and other diseases.
Often confused with retinal detachment is the macular degeneration. This is a retinal disease, but usually one area – the macula lutea – is affected. This may be known to you as a “yellow spot”. Above all, differences are made between
- age-related macular degeneration
- Macular degeneration due to genetic defects or other causes
Especially the age-related macular degeneration occurs, in which the yellow spot is destroyed – usually not before the age of 60 years. In contrast to retinal detachment, which in the worst case leads to complete blindness, macular degeneration makes it possible to maintain at least low vision – even though one still speaks of blindness, as the central focus is no longer visible.
Retinal detachment: cause
The causes of retinal detachment can be very diverse, that’s for sure. This problem is most frequently caused by a tear in the retina, which in turn results from a posterior vitreous detachment. If you are exposed to other risks (such as myopia, flying, sports, stress, etc.), the risk of retinal detachment may be increased.
Although diseases of the retina and general (benign) changes are inheritable, but the classic replacement rather not because it is an interaction of various factors and by other conditions (such as air travel, contact lenses, surgery and Co.) can be strengthened.
The area “retinal detachment: cause” can therefore not be completely determined, because there is not just one cause that can trigger this problem.
Symptoms of retinal detachment
The Signs of retinal detachment are much easier to determine than the causes of these diseases. Although the retinal detachment symptoms are similarly diverse as the possible cause, they are very clear. Be careful, therefore the little warning signs, which should always be followed by a visit to the ophthalmologist.
- Flash: These flashes occur mainly at night and in the dark, but also very often when the eyes are jerked.
- Schlieren: On the other hand, it is more difficult to describe this symptom, which is often called “flying mosquitoes”. The patients see streaks, which feel as if they are moving with the movements of the eyes. e
- Black points: If someone has felt black spots on their eyes, also called suspended particles or as sooty rain, and symptomatic sinking down, they can also be retinal detachment symptoms.
Apart from these signs of retinal detachment, other problems may follow. In general, vision and visual field are very limited with this diagnosis. By examining where the visual difficulties exist, it is possible to find out where the retina is detaching. If, for example, you perceive a black curtain from above, the retina may detach in the upper area.
Although there are no retinal detachment symptoms that are really always present, at least it is relatively safe to say that it is usually only one-sided, as a retina usually does not dissolve in both eyes at the same time.
Important: For a correct diagnosis, you should always consult an ophthalmologist at first warning!
Treatment – from retinal transplantation to homeopathy to lasers
If it is a precursor to retinal detachment, the treatment options are actually relatively diverse. Often a laser surgery is advised, if the retina at the lower layer is still quite narrow and “only” a hole in the retina occurs. However, if the retina has already detached, this can no longer be treated with a laser surgery.
Instead of laser, this requires a proper retinal detachment surgery. Here, the variant of eye surgery as well as the duration of surgery depends on the type of detachment and the severity. The causes also play a major role in the retinal detachment surgery, since the fact that has led to the replacement, must be considered. Among other things, this also determines whether the patient is placed in a general anesthetic during the duration of surgery or local anesthesia is sufficient.
If it came to a correct detachment, it is not possible, as I said, to lase the retinal detachment. If the cause of the detachment is a tear, the eye is dented at this fractured site to approximate the choroid to the retina with a stuffing.
So that it does not have to come to such an extensive eye surgery, but also a laser treatment could be sufficient, it is important that you perceive even the smallest signs as a possible symptom. This makes the therapy significantly easier to implement, lasers the retina and accelerates healing.
The course of the disease after the operation
The retinal detachment after surgery can usually heal well if the problem is detected as early as possible and treated with the right therapy. It’s also easier to handle if the retina is not detached, as you can have the retina lasered. In any case, you should consult an ophthalmologist at the slightest sign of the symptoms mentioned to avoid more serious consequences and to prevent complete detachment of the retina.
2 comments and experiences
After a vitrectomy on the left. Eye and gas, the retina is recumbent, however, has formed in the area of the macula a “fold”. This should now be smoothed by a so-called peeling. is the Membrana limitans interna removed here? and does not the retina become unstable? How high are the chances of recovery?
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