Symptoms of secondary retinal detachment

Written by Xiao Yang Yan
Ophthalmology
Updated on September 05, 2024
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The symptoms of a secondary retinal detachment are actually not much different from the first detachment; it's like a fixed shadow. Therefore, if you have ever experienced retinal detachment, you can cover one eye and use the other eye to check the visible range. Remember what range you can see now and then pay attention to any changes in the future. This way, you can clearly understand the changes in your field of vision. In the early stages, there may be an increased sensation of flashing lights or some floating dark shadows, so if these symptoms appear, it is important to go to the hospital for an examination.

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Can you take a plane with a detached retina?

Retinal detachment and flying are divided into pre-surgery and post-surgery considerations. Before retinal detachment surgery, it is generally permissible to fly, as this typically does not significantly impact the symptoms of retinal detachment. However, what occurs after the surgery must be considered. If, after surgery, only silicone oil is used as a filler, flying is permissible as it does not affect pressure changes. However, if an inert gas is used as a filler after retinal detachment surgery, it can expand due to changes in air pressure at high altitudes. This expansion increases its volume, which can alter the internal pressure of the eye, potentially compressing the eyeball and the retina, leading to ischemia of the central retinal artery. In such cases, where inert or expansible gases are filled within the eye, flying is not advisable until the gas has dissipated.

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Does nearsightedness imaging fall in front of or behind the retina?

The image in a nearsighted eye forms in front of the retina, whereas in farsighted eyes, the image forms behind the retina. Nearsightedness means seeing clearly up close but blurry at a distance. When nearsighted, appropriate measures such as pupil dilation, optometric examination, and corrective lenses should be taken, or orthokeratology may be used. Once the degree stabilizes and no further progression occurs, surgical treatment can be considered after the age of 18. When the eye is unaccommodative, and parallel light rays enter, they focus in front of the retina. After these occurrences, with proactive treatment and proper rest, efforts should be made to prevent further increase in the degree. Especially in children, attention should also be paid to the development of strabismus and amblyopia.

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Does retinal detachment cause eye pain?

Retinal detachment refers to the separation between the neural epithelial layer and the pigment epithelial layer of the retina at the back of the eye. Its main symptoms include flashes of light, blurry vision, and visual obstruction. It is characterized by a painless, sudden decrease in vision. Therefore, patients experiencing retinal detachment will notice flashes of light and a rapid decrease in vision prior to the condition developing, without feeling pain, thus there is no pain associated with retinal detachment.

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How to perform surgery for retinal detachment?

Firstly, there are three types of retinal detachment: rhegmatogenous, tractional, and exudative retinal detachment. For rhegmatogenous and tractional retinal detachment, surgical treatment is generally adopted. There are two common surgical methods: one is external surgery, known as scleral buckling, and the other is internal surgery, involving vitrectomy with complex retinal detachment repositioning. The choice of surgical method requires assessment by an ophthalmology specialist before a decision can be made. Exudative retinal detachment is generally treated by addressing the underlying disease and does not require surgery.

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Can retinal detachment heal by itself?

Retinal detachment refers to the separation between the neural epithelial layer and the pigment epithelial layer of the retina. Based on its cause, it can be categorized into rhegmatogenous retinal detachment, tractional retinal detachment, and exudative retinal detachment. Rhegmatogenous retinal detachment requires repositioning of the retina and closure of the break. If it is tractional retinal detachment, it is necessary to remove the cause, generally requiring vitrectomy and retinal reposition surgery. Exudative retinal detachment generally occurs due to inflammation or other irritations causing exudation or bleeding in the retina, resulting in detachment, typically without retinal breaks. This type of retinal detachment only requires treatment for the underlying disease, and aggressive treatment of the primary disease can generally lead to a cure. Therefore, retinal detachment must be treated; it cannot heal on its own.