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.

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

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

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

Images of patient·s vision .

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

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.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 .