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4130 Truxel Road, Suite D Sacramento, CA 95834

4130 Truxel Road, Suite D Sacramento, CA 95834
916.928.8383

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Home » Our Services » Your Eye Health » Eye Conditions » Retinal Detachment

Retinal Detachment

A retinal detachment is a serious eye emergency in which the retina (the lining of the back of the eye) becomes separated and pulls away from the surrounding tissue. When the retina is out of place, the eye cannot properly process incoming light and if not fixed quickly, permanent vision loss can result.

The retina contains the light sensitive cells of the eye that convert light into neural impulses that communicate with the optic nerve and the brain, enabling visual processing. When the retinal cells become detached from the supportive tissue they no longer get the nourishment and support they need to function and in a relatively short period of time can suffer permanent damage.

Signs and Symptoms

A retinal detachment doesn’t hurt and can happen very suddenly with little warning. Signs that you may be experiencing this condition include sudden onset of floaters, spots, or flashes of light in the visual field. These symptoms may be accompanied by blurred vision, reduced peripheral or side vision and the sensation that there is a curtain coming down over your visual field from the top or side.

Causes and Risk Factors

Retinal detachment can be caused by an injury to the eye or face, as a result of diabetic retinopathy or very high nearsightedness (in which the retina is thinner than in normal eyes). It can also result from changes in the vitreous of the eye due to aging, eye or other systemic diseases or following an eye surgery.

Factors that put you at risk increased include:

  • Age- a retinal detachment is more common in adults 50 and over
  • Diabetes or Sickle Cell
  • Extreme nearsightedness
  • Eye surgery (such as cataract removal)
  • Eye or face injury
  • Family history
  • Eye disease or inflammation

Treatment for Retinal Detachment

Retinal detachment can be treated by a number of surgical procedures, the type of surgery depending upon the type and severity of the detachment. These procedures include:

Pneumatic retinopexy: In this procedure the doctor injects gas or silicone oil into the eye to push the retina back into place. This is usually done when the detachment is just started and is very mild in nature. The surgeon may then need to use other procedures to secure the retina into place such as photocoagulation which is a laser procedure or cryopexy which uses a frozen probe to reattach the tissue. While the gas will absorb into the body, the oil needs to be removed following the procedure.

Scleral buckling: This procedure involves indenting the outer surface of the eye toward the retina by attaching a soft piece of silicone around the sclera or white part of the eye. If necessary, this allows the surgeon to drain the fluids that have accumulated between the retina and the supportive tissue and then the retina is reattached using laser photocoagulation or cryopexy.

Vitrectomy: In this procedure the doctor removes the vitreous fluid in your eye which is the gel-like substance that may be causing the retina to detach. The retina can then be flattened using air, gas or oil. This procedure is often combined with scleral buckling as mentioned above.

Successful treatment for retinal detachment depends on a lot of factors including the severity of the detachment, the location and how quickly it was diagnosed and treated. Sometimes full vision is not restored. If you have risk factors for retinal detachment you should make sure that you get frequent eye exams and see your eye doctor immediately if you experience any changes in your vision.

We are happy to announce that beginning May 11th, we will resume patient care!  Out of an abundance of caution, and guidance from various health agencies including the CMS, CDC, and CDPH, we will be following various safety protocols to protect the health and safety of our patients and staff.  The following protocols apply whether you are coming in for an eye exam, coming to pick out new glasses, or picking up glasses or contacts. Prior to entry there are 3 important steps:

1.  Bring your own mask: You must bring your own mask or face covering!  It is required to be worn at all times within the office (we are unable to provide masks from the office; if you do not bring a mask, we will have to reschedule your visit for a later date).

2.  Body temperature reading: Staff will be administering thermometer readings, and must be within normal range for entry into the office.

3.  Attest to good health: You must attest to good health, with no symptoms of fever, cough, shortness of breath, chills, sore throat, loss of taste/smell, and have not had contact with another person with COVID19 in the past 14 days.

 In addition, we will include limiting the number of patients in the office.  Therefore, you may be asked to call the office upon arrival, and may need to wait outside or in your car until you are called into the office.  Only patients will be allowed in the office (please have spouses, relatives, and friends wait outside of the office).  Exceptions include minors and dependents...may be accompanied by one adult parent or caretaker.

Sincerely,

The Natomas Optometry Team