Rhegmatogenous Retinal Detachment

Rhegmatogenous Retinal Detachment

Article
Eye & Vision
Surgical Procedures
+1
Contributed byKrish Tangella MD, MBASep 13, 2023

What are the other Names for this Condition? (Also known as/Synonyms)

  • RRD (Rhegmatogenous Retinal Detachment)

What is Rhegmatogenous Retinal Detachment? (Definition/Background Information)

  • Rhegmatogenous Retinal Detachment (RRD) is a serious eye condition characterized by the separation of the retina, the light-sensitive tissue at the back of the eye, from the underlying layers of the eye. It is also the most common form of retinal detachment
  • RRD occurs when a tear or hole (rhegma) forms in the retina, allowing the vitreous gel that fills the eye's interior to seep through and accumulate under the retina. This detachment can lead to vision loss and requires prompt medical attention
  • The signs and symptoms of Rhegmatogenous Retinal Detachment typically include sudden flashes of light, a sudden increase in the number of floaters (small, dark spots or specks that seem to float across your field of vision), and the sensation of a curtain or shadow descending over your field of vision. Immediate medical attention is crucial if these symptoms occur, as untreated RRD can lead to permanent vision loss
  • The diagnosis of Rhegmatogenous Retinal Detachment is made through a comprehensive eye examination by an ophthalmologist. This examination may include the use of specialized imaging techniques, such as ultrasound or optical coherence tomography (OCT), to assess the extent and location of the retinal detachment
  • The treatment for Rhegmatogenous Retinal Detachment usually involves surgery to repair the retinal tear and reattach the retina to the eye's underlying structures. There are various surgical techniques available, including pneumatic retinopexy, scleral buckling, and vitrectomy. The choice of procedure depends on the size and location of the detachment
  • Prompt treatment is essential to prevent further vision loss, and the prognosis for vision recovery is generally better when Rhegmatogenous Retinal Detachment is addressed early. However, the outcome can vary depending on the severity of the detachment and other factors, so it is important to follow the ophthalmologist's recommendations for post-surgery care and follow-up

Who gets Rhegmatogenous Retinal Detachment? (Age and Sex Distribution)

  • Rhegmatogenous Retinal Detachment can affect individuals of all ages but is more common in older adults
  • There is no significant gender bias associated with this condition, and both males and females are equally prone to it
  • Worldwide, individuals of all racial and ethnic groups may be affected

What are the Risk Factors for Rhegmatogenous Retinal Detachment? (Predisposing Factors)

Several factors can increase the risk of developing Rhegmatogenous Retinal Detachment (RRD), including:

  • Age: The risk increases with advancing age
  • Nearsightedness (myopia): People with severe myopia are at a higher risk for RRD; high myopia forms a significant risk factor for RRD
  • Previous eye surgery or trauma: Previous procedures or injuries can weaken the retina
  • Family history: A family history of retinal detachment can elevate the risk
  • Other eye conditions: Conditions like lattice degeneration and certain inflammatory disorders can increase one’s susceptibility

It is important to note that having a risk factor does not mean that one will get the condition. A risk factor increases one’s chances of getting a condition compared to an individual without the risk factors. Some risk factors are more important than others.

Also, not having a risk factor does not mean that an individual will not get the condition. It is always important to discuss the effect of risk factors with your healthcare provider.

What are the Causes of Rhegmatogenous Retinal Detachment? (Etiology)

  • Rhegmatogenous Retinal Detachment (RRD) occurs when vitreous gel within the eye contracts and pulls away from the retina, creating a tear or hole
  • This allows fluid to accumulate underneath the retina, leading to detachment. Retinal tears can also occur due to trauma or injury
  • It is a serious eye condition characterized by the separation of the retina from its underlying supportive tissues

What are the Signs and Symptoms of Rhegmatogenous Retinal Detachment?

The signs and symptoms of Rhegmatogenous Retinal Detachment may include the following:

  • The sudden appearance of floaters, flashes of light
  • A shadow or curtain effect in the field of vision
  • Reduced central or peripheral vision

These symptoms often require immediate medical attention.

How is Rhegmatogenous Retinal Detachment Diagnosed?

The diagnosis of Rhegmatogenous Retinal Detachment may involve the following texts and exams:

  • A comprehensive eye examination, including dilated pupil examination
  • Slit-lamp examination: This test uses a special instrument, which gives a 3-dimensional picture of various parts of the eye
  • Electroretinogram: It makes a record of all electrical signals produced in the retina while the individual is using his/her vision (is seeing)
  • The use of imaging techniques, such as ultrasound or optical coherence tomography (OCT), helps confirm the diagnosis and determine the extent of detachment

Many clinical conditions may have similar signs and symptoms. Your healthcare provider may perform additional tests to rule out other clinical conditions to arrive at a definitive diagnosis.

What are the possible Complications of Rhegmatogenous Retinal Detachment?

If left untreated, Rhegmatogenous Retinal Detachment can lead to permanent vision loss. It is crucial to seek prompt medical intervention to prevent complications.

How is Rhegmatogenous Retinal Detachment Treated?

Surgical intervention is usually necessary to repair retinal detachment. The common procedures to treat Rhegmatogenous Retinal Detachment include:

  • Pneumatic retinopexy
  • Scleral buckling
  • Vitrectomy
  • Laser surgery

The choice of procedure depends on the severity and location of detachment.

How can Rhegmatogenous Retinal Detachment be Prevented?

  • While not all cases are preventable, individuals with risk factors should undergo regular eye examinations
  • Addressing nearsightedness, avoiding eye trauma, and seeking early treatment for retinal tears can help reduce one’s risk for Rhegmatogenous Retinal Detachment

What is the Prognosis of Rhegmatogenous Retinal Detachment? (Outcomes/Resolutions)

  • The prognosis of Rhegmatogenous Retinal Detachment varies depending on the extent of detachment, promptness of treatment, and overall eye health
  • Early detection and treatment offer the best chance for successful outcomes

Additional and Relevant Useful Information for Rhegmatogenous Retinal Detachment:

The following DoveMed website link is a useful resource for understanding vitrectomy:

https://www.dovemed.com/common-procedures/procedures-surgical/vitrectomy/

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Krish Tangella MD, MBA picture
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Krish Tangella MD, MBA

Pathology, Medical Editorial Board, DoveMed Team

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