Letter R

Retinal detachment

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<B>Retinal detachment:</B> A separation of the retina from its connection at the back of the eye.

The separation usually results from a tear (that is, a rent or rip, not a tear drop) in the retina.

The tear often occurs when the vitreous gel pulls loose or separates from its attachment to the retina, usually in the outside edges of the eye.

The vitreous is a clear gel that fills most of the inside of the eye between the retina and the lens.

If the retina is weak when the vitreous gel pulls loose, the retina will tear.

This rip is sometimes accompanied by bleeding, or hemorrhage, if a blood vessel is also torn.

Once the retina has torn, liquid from the vitreous gel can then pass through the tear and accumulate behind the retina.

The build-up of fluid behind the retina is what separates (detaches) the retina from the back of the eye.

As more of the liquid vitreous collects behind the retina, the extent of the retinal detachment can progress and involve the entire retina, leading to a total retinal detachment.

A retinal detachment almost always affects only one eye.

The second eye, however, must be checked thoroughly for any signs of the problem.

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