Retinal Detachment: Causes, Symptoms, and Treatment

Your retina plays a crucial role in capturing visual information and transmitting it to your brain. Any disruption to its position or function can have serious consequences for your vision. One of the most critical conditions affecting the retina is retinal detachment. Understanding the causes, symptoms, and treatment options can help you take swift action if this condition arises.

What is Retinal Detachment?

Retinal detachment occurs when the retina separates from the underlying layer of tissue that provides it with essential oxygen and nutrients. Without prompt treatment, this separation can lead to permanent vision loss.


There are three main types of retinal detachment:

  • Rhegmatogenous Detachment: The most common type, caused by a tear or hole in the retina that allows fluid to accumulate underneath it.
  • Tractional Detachment: Occurs when scar tissue on the retina pulls it away from its normal position, often seen in diabetic retinopathy.
  • Exudative Detachment: Results from fluid accumulation beneath the retina without any tears or breaks, often due to inflammatory conditions or tumors.

Causes of Retinal Detachment

Several factors can contribute to retinal detachment, including:

  • Aging: As we age, the vitreous gel inside the eye can shrink and pull away from the retina, increasing the risk of tears.
  • High Myopia (Nearsightedness): Individuals with severe nearsightedness are more prone to retinal tears or detachment.
  • Trauma: Eye injuries can damage the retina or create tears.
  • Eye Surgery: Certain procedures, such as cataract surgery, may elevate the risk.
  • Family History: A genetic predisposition can make some individuals more susceptible.
  • Systemic Diseases: Conditions like diabetes or autoimmune diseases may lead to complications affecting the retina.
Retinal Detachment

Recognizing the Symptoms

Retinal detachment is a medical emergency, and recognizing its symptoms early is critical. Common warning signs include:

  • Sudden Appearance of Floaters: Tiny specks or strings drifting in your vision.
  • Flashes of Light: Often described as lightning streaks, especially in peripheral vision.
  • Blurred or Distorted Vision: A noticeable change in how you see, particularly if it worsens rapidly.
  • Shadow or Curtain Effect: A dark shadow or curtain spreading across your field of vision is a hallmark symptom of detachment.


If you experience any of these symptoms, seek immediate medical attention.


How is Retinal Detachment Treated?

The treatment for retinal detachment varies depending on the severity and type of detachment. One common approach is laser surgery (photocoagulation), which is often used for minor tears or holes. During this procedure, a laser seals the retina to the back of the eye, preventing fluid from entering beneath it and causing further complications.


Another option is cryopexy, a technique that involves freezing the retina around a tear to create a scar. This scar helps secure the retina in place and prevent additional detachment. For more severe cases, pneumatic retinopexy may be recommended. This involves injecting a gas bubble into the eye to press the retina against the back wall.


In some cases, scleral buckling is used. This procedure places a flexible band around the eye to relieve pressure and help the retina settle back into its normal position. For more complex or advanced detachments, a vitrectomy may be necessary. This involves removing the vitreous gel and replacing it with a gas bubble or silicone oil, aiding in the reattachment of the retina.


Each treatment is tailored to the patient’s specific condition, and timely intervention is crucial to preserving vision. Consulting with our specialist is essential to determine the most appropriate course of action.

Prevention and Regular Eye Exams

While not all cases of retinal detachment can be prevented, taking proactive steps to protect your vision is essential:

  • Schedule regular comprehensive eye exams, especially if you are at higher risk
  • Manage underlying conditions like diabetes
  • Wear protective eyewear during activities that could result in eye trauma

Your Vision, Our Priority

Retinal detachment is a serious condition that requires prompt attention. Recognizing the symptoms early and seeking immediate treatment can make a significant difference in preserving your vision. At Progressive Ophthalmology, we specialize in diagnosing and treating retinal conditions using state-of-the-art techniques.


If you’re experiencing symptoms of retinal detachment, contact Progressive Ophthalmology to schedule a comprehensive evaluation. Visit our office in Queens, New York, or call (718) 565-2020 to book an appointment today.