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Symptoms: Most cases have sudden onset, with decreased vision or dark shadows in front of the eyes, and many cases have had prodromal symptoms such as floaters and flashes of light.
Retinal detachment has early symptoms, and only if it is detected early can it be early**. The main early symptoms of retinal detachment are as follows.
1) Floaters and flashes: the earliest to appear. It is actually a symptom of retrovitreous detachment. Middle-aged and elderly people, especially patients with high myopia, should be alert to the possibility of retinal detachment when there are a large number of floaters and continuous flashes of light in a certain direction.
2) Central vision impairment: depending on the location and extent of retinal detachment, the visual acuity suddenly decreases significantly when the posterior pole is detached, and the peripheral detachment has no or little impact on the central visual acuity at the beginning, and the central visual impairment occurs only when the detached range extends to the posterior pole.
3) Visual distortion: When peripheral retinal detachment affects the posterior pole or superficial detachment occurs at the posterior pole, in addition to the decrease in central vision, there is still visual distortion.
The clinical examination of Hefei Renai TCM ophthalmology will also find: visual field defect: when the retina is detached, some sensitive patients can find visual field defects.
However, only lower visual field defects are valuable for early diagnosis. Retinal detachment is the detachment of the neuroepithelial layer, and the optic cells are damaged first due to nutritional problems. Optic cell damage, first affect the blue vision, the blue field of view of the normal eye is greater than the red field, in the retinal detachment eye with white, blue, red three visual indicators to check the field of view, out of the corresponding area not only visual field defects, but also found blue and red vision cross.
Optic deformation: When a superficial detachment occurs when peripheral detachment spreads to the posterior pole, there are symptoms such as distortion and smallening of vision in addition to loss of central vision.
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In the early stages of the disease, patients may feel floating objects, flashes of light, and dark shadows in front of their eyes, which gradually increase.
If left unchecked, lesions can involve the macula, the area of the retina with the highest concentration of photoreceptors and the most acuity of vision, within a few days. Vision is significantly reduced at this time.
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Vision will be very blurry, there will be floating objects in front of your eyes, there will be flickering, you will find some shadows, you will not be able to see things clearly, these conditions are likely to be retinal detachment.
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The key symptoms of retinal detachment are: blurred vision, blurred vision, blurred deformation, sudden reduction of eye vision, etc., some will feel that there are layers of black clouds under the eyes like shadows, from the 1st level of the line of sight to ** to promote retinal detachment into early symptoms and later symptoms, the clinical precursor of retinal detachment may be the black shadow fluttering in front of the eyes, or accompanied by a sense of flash, if you do not pay attention in time, there will be a feeling like a black cloth in front of your eyes, and then the black cloth will gradually expand, In the later stage, the eyes will appear and all the eyes will be black cloth.
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The general symptom is that the vision will decrease, followed by the capillaries will slowly rupture, and there may be some symptoms when the eye is moving. Sometimes it suddenly becomes invisible, like a black cloth. I always feel like there's something in front of me.
I am not in very good shape, and my physical condition is not particularly good. May lose appetite and have poor spirits.
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First, the symptoms of retinal detachment at the beginning are not very obvious, and the patient will feel some flashes of light at the edge of the visual field that will change position as the eye moves. Second, some patients will develop floaters in the process of retinal detachment, mild patients will only have floaters in one eye, and third, severe patients can see floaters in both eyes. If the retina is detached suddenly, then the person will have nystagmus and there will be a sudden loss of vision.
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We know that once retinal detachment appears, there are actually very obvious clinical symptoms, such as vision loss, floaters, flashes of light in front of the eyes, or a sense of black screen obstruction in front of the eyes, and some patients will also have deformation of vision and visual field defects.
Therefore, don't be careless after these symptoms, this is not some very normal symptoms, often it means that retinal detachment has occurred, you must go to the hospital as soon as possible, improve the examination of eye B ultrasound, eye B ultrasound is very valuable for diagnosing retinal detachment.
At the same time, it is necessary to perform a dilated fundus examination, preferably a general fundus photograph, and if possible, it is best to do an optic disc and macular OCT examination. Of course, if rhegmatogenous retinal detachment is suspected, a three-sided mirror examination can also be performed.
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Retinal detachment can lead to blindness. In the early stage of retinal detachment, there are only more floating objects in front of the eyes, and there may be flashes of light in a certain direction, and symptoms such as curtain occlusion may appear.
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Retinal detachment is a more serious vision disease, and the incidence is relatively high, generally myopic eyes are also prone to this disease, mainly because of excessive deformation of the eyeball, retinal detachment is generally more urgent, need to be timely, otherwise it may induce some more serious results. So, what is retinal detachment in general?
1. Definitions
Retinal detachment refers to the separation of the retinal pigment epithelium from the neuroepithelial layer, which is divided into rhegmatogenous, traction, and exudative retinal detachment.
2. Clinical manifestations
The symptoms of optic retinal detachment are ** vision loss, curtain-like occlusion, and patients with rhegmatogenous retinal detachment may have a flash of light before the onset of the disease.
3、**
Patients with retinal detachment should seek medical attention promptly, and the doctor will choose different surgical methods depending on the severity of the condition. In general, doctors will consider the degree of vitreous proliferation and the shape of the hiatus.
Surgery for rhegmatogenous retinal detachment** Extrascleral compression and condensation and vitrectomy are generally included.
4. Prognosis
The retina is the most important component of the ocular imaging system, so retinal detachment has a great impact on visual function. The macular area is the most important part of the retinal center of vision, and if the retinal detachment affects the macula, it can have a great impact on the patient's visual function. Therefore, patients with retinal detachment must be detected early, and retinal detachment that occurs within a week is usually the best.
5. Retinopathy of prematurity
1.What's going on.
Retinopathy of prematurity (ROP): is a vascular proliferative disorder that occurs in preterm or low birth weight infants, and in severe cases, retinal detachment can lead to blindness. According to the location of the lesion, it is divided into three areas (the lesion in zone 1 is the largest for visual acuity), and the severity is divided into 5 stages, the higher the stage, the more severe the disease, and the 5th stage is panretinal detachment.
2.Can it**.
OK. The key is early detection for early**, and the prognosis is worse if retinal detachment has already occurred. Therefore, early screening is especially important!! The effect of the early ** is still good.
3.Do you suffer from premature birth?
No. It is related to birth weight at birth and gestational age, i.e., the smaller the birth weight, the smaller the gestational age, or the longer the duration of oxygen inhalation, the more likely the baby is to develop retinopathy of prematurity. The screening criteria set by the Ministry of Health of China are that babies with a birth weight of less than 2000 grams and high-risk factors need to be screened.
4.Does it have to be **.
Not necessarily. Some lesions resolve on their own. But it needs to be judged by a doctor.
5.Is there a risk.
Yes. However, if the lesion progresses to the stage where ** is needed, it is necessary for the child's vision to be rescued from the round.
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Retinal detachment is more likely to occur in cases of high myopia, high blood pressure, diabetes, or impacts and eye trauma.
In the early stage of retinal detachment, people do not pay attention to their eyes, or myopia leads to fundus problems, and floaters and double vision are relatively early symptoms.
This is followed by decreased vision and incomplete vision are some of the symptoms that precede retinal detachment. Knowing the condition before retinal detachment can prevent the occurrence of retinal detachment in time and prevent it. Detailed knowledge of retinal detachment can be found on the official website of Seeyo Eye Support.
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Retinal detachment is associated with a number of factors, some of which are highly susceptible to retinal detachment and are therefore referred to as predisposing factors. The main ones are:
Myopic eye: Myopic eye is prone to vitreous degeneration and posterior detachment. Retinal degeneration, such as lattice degeneration and paving stone degeneration, is more likely to be seen in myopic eyes. The fragility of the peripheral retina of myopia and vitreoretinal traction can easily lead to retinal detachment.
Aphakic eyes: People with vitreous complications from cataract surgery are particularly prone to retinal detachment. Intracapsular cataract extraction may be related to vitreous movement that fills the space of the original crystal.
The large vitreous cavity increases the space for the vitreous to swing and enhances its traction on the retina. This effect is exacerbated by intraoperative vitreous loss. The presence of vitreous incarceration changes the natural condition of posterior detachment of the vitreous, thus inducing the effect of the vitreous on the retina of the aphakic eye.
Age: The vitreous humor of the elderly is mostly degenerated and liquefied, often accompanied by various retinal degeneration, so it is easy to develop retinal detachment.
Retinal degeneration: Some retinal degeneration, such as latticeal degeneration, frosty degeneration, and paving stone degeneration, is particularly prone to the formation of retinal tears. This is because degeneration reduces the adhesion of the retina and reduces its resistance to traction.
Trauma: In contusion, the moment of impact movement can temporarily deform the eyeball, although the wall of the eyeball can comply with the external force, but the vitreous cannot, at this time, the base of the vitreous is separated from the ball wall, and it is easy to produce retinal serration margin. Perforated trauma can cause retinal detachment directly, whereas later vitreous proliferation can lead to traction detachment.
Baoding Xinshi Eye Hospital.
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Many patients with high myopia may have retinal detachment, if this disease is not carried out in time, it is very likely that this situation will occur, and there are many reasons for retinal detachment, the older the age, the higher the probability of onset, for example, people with high myopia are prone to vitreous degeneration, and finally lead to retinal detachment, because the retina around people with myopia is relatively fragile, and the vitreous will also pull to the retina, For a long time, it is easy to cause retinal detachment.
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1. Visual impairment.
Early symptom of retinal detachment: visual disturbance. Depending on the location and extent of retinal detachment, the timing and degree of visual impairment varies.
Patients are generally asymptomatic in the early stages, and vision loss is only noticed as the retinal detachment expands. If the detachment spreads to the macular part of the retina, it will also be accompanied by visual distortion and smallening.
2. Flash.
Early symptoms of retinal detachment: flashes of light. Because the retina is stretched, people feel flashes of light, usually when they look in a certain direction. This can be a precursor to retinal detachment.
3. Floaters.
Early symptom of retinal detachment: floaters. There was a dark shadow fluttering in front of him.
The black shadow is smoky, fine, flaky or irregular ring, etc., and the shape often changes, as if there is a small insect flying in front of you. This is a common symptom in older people and people with myopia, and it is also an early symptom of retinal detachment.
4. The curtain in front of the eyes is obscured.
Early symptoms of retinal detachment: obstruction of the anterior tentorial shadow. Curtain-like dark shadows appear in the visual field corresponding to retinal detachment, and gradually enlarge as retinal detachment expands.
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There are several main symptoms before retinal detachment:
1. Floaters, double vision and other phenomena, this stage is the earliest, and some people may not care much about eye problems.
2. Patients with high myopia, diabetes, hypertension and other fundus lesions should pay attention to regular examination of the fundus to prevent retinal detachment.
3. The obvious phenomenon of retinal detachment caused by eye trauma or myopia is that the vision suddenly decreases, and the vision is defective, so you should go to the hospital for examination in time.
Suggestion: Generally, retinal detachment surgery has a different lying position, and patients who need to lie on their stomachs can use the "Vision Eye Brace", do not do strenuous exercise after surgery, and do not eat spicy food.
Classification of retinal detachment.
There are many ways to classify the retina. According to the mechanism of pathogenesis, it can be divided into rhegmatogenous, traction and exudative retinal detachment. According to the extent of retinal detachment, it can be divided into two types: partial and complete, and according to its **, it can be divided into two categories: primary and secondary. >>>More
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After the operation, you should pay attention to your diet, do not eat spicy food, do not drink milk on an empty stomach, and eat more fruits and vegetables. In addition, lying on the stomach is the key to recovery, generally after the operation the doctor will instruct the patient to lie on the stomach, I used the eye support before, the recovery is not bad.
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Appropriate oral administration of some neurotrophic drugs, such as vitamin B1, inosine, adenosine triphosphate, etc., is conducive to the recovery of retinal function, and should be rechecked regularly after 3 months, such as flashes of light or sparks in front of the eyes, should immediately go to the hospital to dilate the pupil to examine the fundus, in order to detect the location and degree of retinopathy early, and prevent retinal detachment from occurring again.