About Retinal Tears and Detachment
A retinal tear happens when the thin layer of tissue at the back of the eye (the retina) develops a small break. If fluid passes through the tear, it can cause the retina to lift off the back of the eye leading to a retinal detachment.
A retinal detachment occurs when the retina separates from its normal position. This is a serious condition that can lead to permanent vision loss if not treated quickly.
Frequently Asked Questions
What are the warning signs?
Flashes of light
New floaters (spots or threads in vision)
A shadow, curtain, or dark area over part of your vision
Blurred or distorted central vision
If you experience any of these, seek immediate care.
Is a retinal detachment painful?
No, retinal tears and detachments are usually painless. The main symptoms are visual changes, not eye pain.
How are retinal tears treated?
Most tears can be treated with an in-office laser to seal the break and prevent detachment.
How are retinal detachments treated?
Surgery is required, and the approach depends on the severity and type:
Scleral buckle surgery (a silicone band is placed around the eye)
Pars plana vitrectomy (removing the vitreous gel and repairing the retina with a gas bubble or oil)
Pneumatic retinopexy (injecting a gas bubble in the eye combined with laser or freezing treatment)
Can vision be restored after retinal detachment?
If treated early, many patients recover good vision. However, the longer the retina remains detached -especially if the central macula is involved- the greater the risk of permanent vision loss.
Who is at risk for retinal detachment?
Nearsighted (myopic) individuals
People who have had cataract or other eye surgery
Those with a family history of retinal detachment
People with prior eye injury
Patients with other retinal diseases (like diabetic retinopathy)
