Retinal Detachment Workup

Updated: Jul 08, 2021
  • Author: Hemang K Pandya, MD, FACS; Chief Editor: Bruce M Lo, MD, MBA, RDMS, FACEP, FAAEM, FACHE, FAAPL, CPE  more...
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Laboratory Studies

Laboratory tests are not helpful in detecting retinal detachment and are not warranted in the acute care of the patient. However, if the patient requires surgical intervention, it may be useful to have basic blood work (BMP, PT/PTT, INR, HbA1C). This is especially important in diabetics and those on systemic anti-coagulation.


Imaging Studies

Unless globe rupture, orbital/facial bone fractures or intraocular foreign bodies are suspected, imaging techniques, such as CT scans or MRIs, are not warranted to evaluate for retinal detachments.

In difficult cases, bedside ocular ultrasonography can facilitate prompt diagnosis of retinal detachment. Potential ultrasonographic mimics of retinal detachment (eg, posterior vitreous detachment [PVD] and vitreous hemorrhage [VH]) should be excluded.

Sonogram of retinal detachment. Courtesy of Bruce Sonogram of retinal detachment. Courtesy of Bruce Lo, MD.