Shore Eye Associates Blog

Latest news and promotions from Shore Eye Associates with offices in Monmouth and Ocean County.

Retinal Detachment- Symptoms, Signs and Treatment

retinal detachment
Retinal Detachment- Symptoms, Signs and Treatment


The retina is the nerve tissue that lines the inside back wall of the eye.  Light travels through the pupil and lens and is focused on the retina, where it is converted into a neural impulse and transmitted to the brain.  If there is a break in the retina, fluid can track underneath the retina and separate it from the eye wall.  Depending on the location and degree of retinal detachment, there can be very serious vision loss.


The three most common symptoms of a retinal detachment are the three 3 Fs:

·      Flashes- flashing lights that are usually seen in peripheral (side) vision

·      Floaters-hundreds of dark spots that persist in the center of vision

·      Field cut- curtain or shadow that usually starts in peripheral vision that may move to involve the center of vision



Retinal detachments can be broadly divided into three categories depending on the cause of the retinal detachment:

·      Rhegmatogenous retinal detachments-  Rhegmatogenous means “arising from a rupture” so these detachments are due to a break in the retina that allows fluid to collect underneath the retina.  A retinal tear can develop when the vitreous (the gel like substance that fills the back cavity of the eye) separates from the retina as part of the normal aging process.

The risk factors associated with this type of retinal detachment:

1.     Lattice degeneration – thinning of the retina

2.     High myopia (nearsighted)- can result in thinning of the retina

3.     History of previous retinal break or detachment in the other eye

4.     Trauma

5.     Family history of retinal detachment


·      Tractional retinal detachments-These are caused by scar tissue that grows on the surface of the retina and contraction of the scar tissue pulls the retina off the back of the eye.  The most common cause of scar tissue formation is due to uncontrolled diabetes. 

·      Exudative retinal detachments- These types of detachments form when fluid accumulates underneath the retina. This is due to inflammation inside the eye which results in leaking blood vessels.   The visual changes can vary depending on your head position because the fluid will shift as you move your head.  There is no associated retinal hole or break in this type detachment.  Of the 3 types of retinal detachments, exudative is the least common type of detachment.

Diagnostic tests

·      A dilated eye exam is needed to examine the retina and the periphery.  This may entail a scleral depression exam where gentle pressure is applied to the eye to examine the peripheral retina.

·      A scan of the retina (optical coherence tomography) may be performed to detect any subtle fluid that may accumulate under the retina. 

·      If there is significant blood or a clear view of the retina is not possible then an ultrasound of the eye may be performed.



The goal of treatment is to re-attach the retina back to the eye wall and treat the retinal tears or holes.  

In general, there are 4 treatment options:

·      Laser.  A small retinal detachment can be walled off with a barrier laser to prevent further spread of the fluid and the retinal detachment.  

·      Pneumatic Retinopexy.  This is an office based procedure that requires injecting a gas bubble inside the eye.  After this procedure, you need to position your head in a certain direction for the gas bubble to reposition the retina back along the inside wall of the eye.   A freezing or laser procedure is performed around the retinal break.  This procedure has about 70-80% success rate but not everyone is a good candidate for a pneumatic retinopexy.

·      Scleral buckle.  This is a surgery that needs to be performed in the operating room.  This procedure involves placing a silicone band around the outside of the eye to bring the eye wall closer to the retina.  The retinal tear is then treated with a freezing procedure. 

·      Vitrectomy. In this surgery, the vitreous inside the eye is removed and the fluid underneath the retina is drained.  The retinal tear is then treated with either a laser or freezing procedure.  At the completion of the surgery, a gas bubble fills the eye to hold the retina in place.  The gas bubble will slowly dissipate over several weeks.  Sometimes a scleral buckle is combined with a vitrectomy surgery.



The final vision after retinal detachment repair is usually dependent on whether the macula (central part of the retina you use for fine vision) is involved.  If the macula is detached, then there is usually some decrease in final vision after reattachment.  Therefore, a good predictor is initial presenting vision.  We recommend that patients with symptoms of retinal detachments (flashes, floaters, or field cuts) to have a dilated eye exam.  The sooner the diagnosis is made, the better the treatment outcome.

Having symptoms of retinal detachment? CALL US

Retinal Detachment Overview Video

View Video
Can an Eye Exam Detect Alzheimer's?
Are Daily Contact Lenses My Best Choice?

Related Posts


No comments yet
Already Registered? Login Here
Friday, 24 November 2017

Captcha Image

Search Shore Eye

Patient Resources

facebook yelp google+ youtube twitter pintrest

Order online button-patient-portal

  • Toms River +

    530 Lakehurst Road Suite 206
    Toms River, NJ 08755

    Phone: 732-341-4733

    View Map

    • Monday: 10:00am - 7:00pm
    • Tuesday: 9:00am - 6:00pm
    • Wednesday: 9:00am - 5:00pm
    • Thursday: 8:00am - 4:30pm
    • Friday: 9:00am - 4:30pm
    • Saturday: By Appointment
    • Sunday: Closed


  • Spring Lake Heights +

    2018 Highway 71
    Spring Lake Heights, NJ 07762

    Phone: 732-359-8380

    View Map

    • Monday: 10:00 am- 6:00 pm
    • Tuesday: 8:30 am - 4:30 pm
    • Wednesday: 10:00 am - 6:00PM
    • Thursday: Closed
    • Friday: 8:00 am - 4:00 pm
    • Saturday: By Appointment
    • Sunday: Closed


    Contact Spring Lake Heights Location

  • Brick +

    445 Brick Blvd
    Brick, NJ 08723

    Phone: 732-920-3737

    View Map and Directions

    • Monday: 10:00 am - 5:00 pm
    • Tuesday: 8:00 am - 4:00 pm
    • Wednesday: Closed
    • Thursday: 10:00 am - 7:00 pm
    • Friday: Closed
    • Saturday: Closed
    • Sunday: Closed


    Click for more information about our
    Brick location

  • Whiting +

    Route 530 and Schoolhouse Rd, Suite 19
    Whiting, NJ 08759

    Phone: 732-350-3344

    View Map

    • Monday: Closed
    • Tuesday: Closed
    • Wednesday: 8:00 am - 4:00 pm
    • Thursday: 8:00 am - 4:00 pm
    • Friday: 8:00 am - 4:00 pm
    • Saturday: Closed
    • Sunday: Closed


    Click for more information
    Whiting Location

  • 1

Video Education

Click To View Larger Video in a Popup