Retinal Detachment Treatment & Management
- Author: Hemang K Pandya, MD; Chief Editor: Robert E O'Connor, MD, MPH more...
When the patient or their family member contacts their physician, they should be advised to:
Keep the patient NPO (absolutely no solid foods or fluids) in anticipation of retinal surgery
In cases of associated trauma, protect the globe with metallic eye shield
Avoid any pressure on the globe and to limit activity to a minimum until further evaluation
Emergency Department Care
ED treatment of retinal detachment consists of evaluating the patient and treating any unstable vital signs, preparing the patient for possible emergency surgery. Please see the examination guidelines as stated above.
Patient follow up should be based upon macula status: Whenever a macula-on retinal detachment is suspected, a retina specialist should evaluate the patient within 24 hours.
All patients should be instructed to limit strenuous physical activity. Upon discharge from the ED, patients should be provided with the name and contact information for a retina specialist located close to their home.
There exists a multitude of techniques for treating retinal detachments, including scleral buckling, pars plana vitrectomy, and pneumatic retinopexy. The retinal detachment repair is usually done on an outpatient basis.
Ideally, patients with RD should be quickly referred to a retina specialist. The timing of surgical intervention is typically based on the status of the macula.
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