Retinal detachment describes an emergency situation in which a thin layer of
tissue (the retina) at the back of the eye pulls away from its normal position. It
causes painless visual loss. Retinal detachment separates the retinal cells from the
layer of blood vessels that provides oxygen and nourishment. The longer retinal
detachment goes untreated, the greater your risk of permanent vision loss in the
affected eye. Warning signs of retinal detachment may include sudden
appearance of many floaters (tiny specks that seem to drift through your field of
vision), flashes of light in one or both eyes (photopsia), blurred vision, gradually
reduced side (peripheral) vision or a curtain-like shadow over your visual field.
The following factors increase your risk of retinal detachment:
Aging
Previous retinal detachment in one eye
Family history of retinal detachment
Extreme nearsightedness (myopia)
Previous eye surgery, such as cataract removal
Previous severe eye injury
Previous other eye disease or disorder, including retinoschisis, uveitis or
thinning of the peripheral retina (lattice degeneration)
There are three different types of retinal detachment:
Rhegmatogenous: These types of retinal detachments are the most common.
Rhegmatogenous detachments are caused by a hole or tear in the retina that
allows fluid to pass through and collect underneath the retina, pulling the
retina away from underlying tissues.
The most common cause of rhegmatogenous detachment is aging. As you
age, the gel-like material that fills the inside of your eye, known as the
vitreous, may change in consistency and shrink or become more liquid.
Normally, the vitreous separates from the surface of the retina without any
complications — a common condition called posterior vitreous detachment
(PVD). One complication of this separation is a tear.
As the vitreous separates or peels off the retina, it may tug on the retina with
enough force to create a retinal tear. Left untreated, the liquid vitreous can
pass through the tear into the space behind the retina, causing the retina to
become detached.
Tractional: This type of detachment can occur when scar tissue grows on the
retina's surface, causing the retina to pull away from the back of the eye.
Tractional detachment is typically seen in people who have poorly controlled
diabetes or other conditions.
Exudative: In this type of detachment, fluid accumulates beneath the retina,
but there are no holes or tears in the retina. Exudative detachment can be
caused by age-related macular degeneration, injury to the eye, tumors or
inflammatory eye disorders.