What is Retinal Detachment?
The retina is the light-sensitive tissue lining the back of our eye. Light rays are focused onto the retina through our cornea and lens. The retina converts the light rays into electrical impulses that travel through the optic nerve to our brain, where they are interpreted as the images we see. A healthy, intact retina is key to clear vision. If you have a retinal detachment, you could lose your vision.
The middle of our eye is filled with a clear gel called vitreous that is attached to the retina. Sometimes tiny clumps of gel or cells inside the vitreous will cast shadows on the retina, and you may sometimes see small dots, specks, strings or clouds moving in your field of vision. These are called floaters. You can often see them when looking at a plain, light background, like a blank wall or blue sky.
As we get older, the vitreous may shrink and pull on the retina. When this happens, you may notice what look like flashing lights, lightning streaks or the sensation of seeing “stars.” These are called flashes.
PVD Can Cause Retinal Detachment
A posterior vitreous detachment (PVD) is a natural event and occurs in almost everyone as an age-related process. It is at this time, however, that a retinal tear may occur.
Usually, the vitreous moves away from the retina without causing problems. But sometimes the vitreous pulls hard enough to tear the retina in one or more places. When a retinal detachment occurs, fluid has moved underneath the retina through a retinal tear, lifting the retina off the back of the eye — much as wallpaper can peel off a wall.
When the retina is pulled away from the back of the eye like this, it is called a retinal detachment.
The retina does not work when it is detached and vision becomes blurry. This is a sight-threatening condition that requires urgent repair by a retina surgeon. Otherwise, permanent blindness may result.
Shahem Kawji, MD
Newport Beach, CA 92660