Management of retinal detachment: a guide for non-ophthalmologists

• Published in: BMJ Vol. 336; no. 7655; pp. 1235 - 1240
• Main Authors: Kang, Hyong Kwon, Luff, A J
• Format: Journal Article Book Review
• Language: English
• Published: London British Medical Journal Publishing Group 31.05.2008; British Medical Association; BMJ Publishing Group LTD; BMJ Publishing Group; BMJ Publishing Group Ltd
• Edition: International edition
• Subjects: Biological and medical sciences; Cataracts; Clinical Review; Eyes; General aspects; Humans; Management; Medical personnel; Medical sciences; Myopia; Ophthalmology; Optic nerve; Patients; Postoperative Care - methods; Predisposing factors; Referral and Consultation; Retina; Retinal detachment; Retinal Detachment - diagnosis; Retinal Detachment - etiology; Retinal Detachment - surgery; Retinal perforations; Retinopathies; Risk Factors; Studies; Visual Fields; Vitreous hemorrhage; Medicine; Retinal detachment; Eye disease; Retinopathy; Clinical management; Guide
• ISSN: 0959-8138; 0959-8146; 1468-5833; 1756-1833
• DOI: 10.1136/bmj.39581.525532.47

Retinal detachment is separation of the neurosensory retina from the underlying retinal pigment epithelium. Patients with retinal detachment often present to their general practitioner, emergency department, or optometrist after central vision has been compromised. This delay is unfortunate because early repair results in little or no visual loss. Once the detachment extends across the fovea (the central macula), permanent visual impairment is almost inevitable. Thorough examination of the retina needs equipment that is rarely available to non-ophthalmologists. Recognition of symptoms and awareness of the risk factors for retinal detachment may help in making speedy referrals and saving vision. Here, Kang discusses the management of retinal detachment for non-ophthalmologists.