- The most commonly seen retinal detachment.
- Usually there is/are retinal break(s) induced by posterior vitreous
detachment.
- Fluid from liquefied vitreous can pass through the break(s), enter
the potential subretinal space and undermine the retina from the RPE.
- Signs:
- Retinal break(s)
- Undulating bulla, retinal tear flap, or corrugated folds
- Pigment in vitreous (tobacco dusts)
- Syneretic vitreous (liquefaction changes within the corpus vitreous)
- Low intraocular pressure
- Management: Identify and treat the breaks by a number of methods
such as:
- Scleral buckling, cryotherapy or laser to promote firm chorioretinal
adhesion.
- Pneumatic retinopexy for selected superior detachment.
- Temporary balloon device as a temporary buckling.
- Vitrectomy.
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