Retinal detachment with giant retinal tear digital illustration

Retinal detachment with giant retinal tear Save


ICD-10 code: H33.03

Chapter: Diseases of the eye and adnexia

Retinal Detachment with Giant Retinal Tear: An Overview

Retinal detachment is a serious eye condition that can cause permanent vision loss if not treated promptly. It occurs when the retina, the light-sensitive tissue at the back of the eye, separates from its underlying support tissue. One of the most severe forms of retinal detachment is giant retinal tear, which requires immediate medical attention.

A giant retinal tear is a full-thickness tear of the retina that is larger than 90 degrees in circumference. It is usually caused by trauma to the eye or as a complication of certain eye surgeries. The tear can allow fluid to seep behind the retina, causing it to detach from the wall of the eye.

Retinal detachment with giant retinal tear is a medical emergency that requires prompt treatment to prevent permanent vision loss. The condition can cause symptoms such as floaters, flashes of light, and a curtain-like shadow or blackness in the field of vision.

Treatment for Retinal Detachment with Giant Retinal Tear

The treatment for retinal detachment with giant retinal tear usually involves surgery. The type of surgery depends on the size and location of the tear, as well as the extent of the retinal detachment.

  1. Vitrectomy: This is a surgical procedure that involves removing the vitreous gel from the eye and replacing it with a clear saline solution. This allows the surgeon to access the retina and repair the tear using laser or cryotherapy (freezing).
  2. Scleral buckle: This is a silicone band that is placed around the eye and tightened to push the sclera (white part of the eye) towards the retina, closing the tear and reattaching the retina to the eye. This procedure is often combined with vitrectomy.
  3. Pneumatic retinopexy: This is a non-invasive procedure that involves injecting a gas bubble into the vitreous cavity to push the retina against the wall of the eye. The tear is then sealed with laser or cryotherapy.

After surgery, patients will need to follow strict instructions for postoperative care, including applying eye drops, avoiding strenuous physical activity, and avoiding air travel until the gas bubble has dissolved.

Conclusion

Retinal detachment with giant retinal tear is a serious eye condition that can cause permanent vision loss if not treated promptly. If you experience symptoms of retinal detachment, such as floaters, flashes of light, or a curtain-like shadow in your vision, seek medical attention immediately. With prompt treatment, it is possible to restore vision and prevent permanent damage to the eye.