About Retinal Tears
As the vitreous gel in the back of the eye starts to liquefy, it can separate from the retina, a condition called posterior vitreous detachment (PVD). If the vitreous gel adheres too firmly to the retina, a retinal tear can occur with a PVD. The tear can also progress to a retinal detachment, a more serious condition that happens when fluid leaks through the tear and separates the retina from the back of the eye.
Causes and Symptoms
Light passes to your retina through a large space in the center of the eye called the vitreous cavity. This cavity is filled with a clear, jelly-like substance called vitreous which is normally in contact with the retina. A posterior vitreous detachment (PVD) occurs when the vitreous gel separates from the retina. This happens in most eyes as we age and tends to occur earlier in myopic (nearsighted) eyes and after trauma or eye surgery. In most cases, this separation does not cause any significant problems. However, when a posterior vitreous detachment occurs, the vitreous gel sometimes pulls holes or rips tears in the retina.
Symptoms of a retinal tear can include the sudden appearance of floaters (black spots) or flashes of light. However, some patients experience very few symptoms. If a vitreous hemorrhage (bleeding) or retinal detachment also occurs, additional symptoms can include blurred vision or loss of peripheral (side) vision.
"Mine was, more or less, an urgent situation, so I was very lucky to be able to see her. She had a staff who did the photos/preliminary exams and they were excellent. When I saw her, she had all the results. The news was good and she gave me all the info I needed. To me, time spent was not relevant, as she gave me all the time I needed to ask questions. Since the news was good, I had very few questions."- F.A. / Healthgrades / Oct 06, 2018
"Dr Wykoff is an excellent retina doc. He is kind, caring and gentle and a great doc."- Anonymous / Healthgrades / Dec 13, 2018
"Really like Dr. Chen. Nice office with efficient staff and good equipment."- B.Y. / Google / Dec 12, 2018
"I have been seeing Dr. Fish for years. This place is always organized and very professional. Dr. Fish and everyone there is great. Can’t imagine a better experience at a Dr’s office."- C.M. / Google / Dec 07, 2018
"Retina Consultants is an outstanding organization. The staff is friendly and very helpful. My doctor, David Brown. M.D. is an outstanding doctor who treats me with care and diligence. I have been under his care for over 5 years and he has provided care that has kept me from losing all my sight. Betty Haines"- J.H. / Yelp / Dec 07, 2018
A retinal tear can be diagnosed through a thorough dilated eye exam. Sometimes our physicians order an ophthalmic ultrasound to assist with the diagnosis.
Treatment and Prognosis
The prognosis is good if a retinal tear is caught early before it progresses to a retinal detachment. Treatment can include:
- Laser Treatment: The laser causes scarring to the underlying tissue so the retinal tear can be sealed. This prevents fluid from getting under the retina. This procedure is performed in our office.
- Cryotherapy: Cryotherapy offers a similar result by freezing the area to seal the tear, preventing further damage. It is also performed in our office.
Both of these methods are used to prevent the retinal tear from developing into a retinal detachment. Surgery may be necessary if a retinal detachment has already developed along with the retinal tear.
Our sub-specialized, board-certified ophthalmologists at Retinal Consultants of Houston are experienced in treating both retinal tears and retinal detachment.
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While retinal tears generally do not cause long-term vision loss and can be effectively repaired through minimally invasive techniques or laser treatment, it is important that the condition is caught early. If not, a retinal detachment may occur which almost always causes vision loss or blindness. At Retina Consultants of Houston, we will evaluate each case promptly, offering a fast and effective diagnosis so treatment can be performed before further damage occurs.