St.

Ferdinand College College of Health Sciences Ilagan, Isabela

NURSING CARE MANAGEMENT 104 (LEC.) CONCEPT: PERCEPTION & COORDINATION

or tear. € . hole. € Most are a result of a retinal break.A separation of the retina from its attachments to its underlying tissue within the eye.

.

.

Vitreous fluid enters the break and separates the sensory retina from the underlying RPE. meaning rent or break.D. € Is the most common. .RHEGMATOGENOUS R. resulting in detachment. deriving its name from ³rhegma´.

. The etiologic factors are often tumor growth or inflammation.EXUDATIVE/ SEROUS DETACHMENT € Occurs when sub-retinal fluid accumulates and causes detachment without any corresponding break in the retina.

sickle cell disease. .D. Vitreoretinal traction increases with age. advanced retinopathy of prematurity and penetrating trauma.TRACTIONAL R. as the vitreous gel shrinks and collapses over time. Centripetal mechanical forces cause the separation of the retina from the RPE without a retinal break. The most common causes of tractional retinal detachment are proliferative diabetic retinopathy. frequently causing posterior vitreous detachments in approximately two thirds of persons older than 70 years. € Occurs as a result of adhesions between the vitreous gel and the retina. Advanced adhesion may result in the development of a tear or break.

.

Flashing lights and floaters € Shadow/ curtain-like image € .

Images of patient·s vision .

.

(The retina is normally transparent) .Opthalmoscopy or Slit-lamp Exam € With full pupil dilation shows retina as gray or opaque in detached areas.

.

.

.

.Pneumatic Retinopexy € The injection of a gas bubble into the vitreous space inside the eye enabling the gas bubble to push the retinal tear back against the wall of the eye and close the tear.

Laser surgery or Cryotherapy .

Vitrectomy .

Scleral Buckle .

Sign up to vote on this title
UsefulNot useful