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Retinal detachments are divided into three main types based on their distinct causes. [6] Rhegmatogenous retinal detachment is caused by a tear or break in the retina. [6] [9] This allows vitreous humor, the fluid that normally sits in the center of the eye, to build up behind the retina.
A scleral buckle is one of several ophthalmologic procedures that can be used to repair a retinal detachment. Retinal detachments are usually caused by retinal tears, and a scleral buckle can be used to close the retinal break, both for acute and chronic retinal detachments. [citation needed] Scleral buckles come in many shapes and sizes.
Laser photocoagulation, or photocoagulation therapy, is the use of a laser to seal a retinal tear. [21] Pneumatic retinopexy; Retinal cryopexy, or retinal cryotherapy, is a procedure that uses intense cold to induce a chorioretinal scar and to destroy retinal or choroidal tissue. [24] Macular hole repair; Partial lamellar sclerouvectomy [25]
The risk of retinal detachment is the greatest in the first 6 weeks following a vitreous detachment, but can occur over 3 months after the event.. The risk of retinal tears and detachment associated with vitreous detachment is higher in patients with myopic retinal degeneration, lattice degeneration, and a familial or personal history of previous retinal tears/detachment.
During rhegmatogenous retinal detachment, fluid from the vitreous humor enters a retinal hole. The mechanisms by which retinal holes or tears form are not fully understood yet. The accumulation of fluid in the subretinal space and the tractional force of the vitreous on the retina result in rhegmatogenous retinal detachment.
Laser photocoagulation can help prevent the deterioration of some retinal disorders and reduce the risk of future vision loss, but it cannot restore vision once it has been lost. The procedure is safe and effective for treating indicated retinal disorders, such as tears and glaucoma. It is typically an outpatient procedure lasting 15 to 20 minutes.
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A tear in the retina can allow fluids from the eye to leak in behind the retina, which causes retinal detachment. When this occurs, blood from the retinal blood vessels can bleed into the vitreous. [4] Retinal tear accounts for 11.4–44% of vitreous hemorrhage cases. [1]
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