Retinal detachment. Patients with Marfan are more vulnerable to this disorder because of the weakness of their connective tissues.
All persons with Marfan should be taught to recognize the signs of retinal detachment (sudden blurring of vision in one eye becoming progressively worse without pain or redness) and to seek professional help immediately.
For retinal reattachments, the retina can be repaired in about 90% of cases. Early treatment almost always improves the vision of most patients with retinal detachment.
The danger of retinal detachment is an important reason for patients to avoid contact sports or other activities that could cause a blow on the head or being knocked to the ground.
A. H. Chignell has written: 'Retinal detachment surgery' -- subject- s -: Retina, Retinal detachment, Surgery 'Management of vitreo-retinal disease' -- subject- s -: Proliferative vitreoretinopathy, Retinal detachment, Surgery, Vitrectomy, Vitreoretinopathy, Proliferative
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"Retinal detachment" is the usual medical term. The condition is most commonly due to a tear in the retina especially in people who are short sighted (myopic). This is a technically a rhegmatogenous retinal detachment. The rip allows fluid from the vitreous cavity to pass beneath the retina so the retina progressively separates from the retinal pigment epithelium beneath. Ultimately the entire retina can detach called a total detachment. This is sometimes also called a "funnel detachment" because the retina remains attached to the optic nerve at the back of the eye. There are other types such as "tractional retinal detachment" in patients with severe diabetic eye disease or "exudative detachments" due to inflammatory conditions.
Weight lifting increases blood pressure, which in turn may enlarge the aorta. Rough physical contact may cause retinal detachment. Sudden changes in air pressure may produce pneumothorax.
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Over 90% of retinal detachments can be repaired with prompt treatment, although sometimes a second procedure is needed. About 40% of patients treated for retinal detachment will have good vision within six months of surgery.
Not everyone is a candidate for retinal detachment surgery. The decision depends on factors such as the individual's overall health, the extent of detachment, and the specific characteristics of the detached retina. An ophthalmologist will assess each case individually.
Common surgical techniques include scleral buckle, pneumatic retinopexy, and vitrectomy. The choice of surgery depends on the type and severity of retinal detachment.
Laser surgery can be effective in treating certain types of retinal detachment. Its success depends on various factors such as the size and location of the detachment. In some cases, other surgical interventions may be necessary.