Ver el código de «Retinal detachment»

==Background==
[[File:A Retinal Detachment.jpg|thumb|Retinal detachement]]
#Average age of onset ~55
#Types
##Rhegmatogenous (rhegma means "tear")
###As vitreous separates from retina the traction creates a hole in retina
####Fluid goes through the hole and peels the retina off like wallpaper
##Exudative
###Fluid accumulates beneath the retina without a retinal tear
###Associated w/ neoplasm, inflammatory conditions, hypertension, preeclampsia
##Tractional
###Acquired fibrocellular bands in the vitrous contract and detach the retina
###Associated w/ DM, sickle cell, trauma
#Distinguish between mac-off and mac-on

==Clinical Features ==
#Abrupt onset of new "floaters" or flashes of light
##Vitreous tugs on the retina before separation
# Visual acuity loss (filmy, cloudy, or curtain-like) or visual field loss 
## May be mild or dramatic 
 
==DDx==
*[[Acute Vision Loss (Noninflamed)]]
*[[Acute Onset Flashers and Floaters]]

==Diagnosis==
#Examination 
##Visual acuity and visual fields 
##Fundoscopic exam with dilation
# [[Ultrasound: Ocular|Ultrasound]]

==Treatment==
*Urgent ophtho referral within 24hr
*In macular off retinal detachment, visual acute is significantly decreased if reattachment does not occur within 6 days. <ref>Diederen R et al: Scleral buckling surgery after macula-off retinal detachment: Worse visual outcome after more than 6 days. Ophthalmology 2007; 114:705-709</ref>

==See Also==
[[Acute Onset Flashers and Floaters]]

==Source==
Tintinalli
<references/>
[[Category:Ophtho]]