Condition: Retinal Detachment2018-09-18T13:18:57+00:00

Retinal Detachment Overview

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The best way to figure out whether your specific condition can be treated or not is to give us a call. We can answer any questions you have and help you clarify which treatment options might be suitable for you.

There are different treatment options available for this condition and the most common ones are listed below:

  • Surgery in order to flatten the retina
  • Laser treatment
Learn more about treatment options

Retinal Detachment

What is a Retinal Detachment?

Retinal detachment is a common cause of loss of vision. It is therefore important to recognise the early signs of retinal detachment before there are any irreversible retinal changes.

Retinal detachment is more much common in people with myopia and the greater the myopia the greater the risk of developing a retinal detachment. The retina in myopic patients is thinner and weaker and can therefore more easily form a retinal tear or retinal hole through which fluid can enter underneath the retina and cause a detachment.

Retinal detachment can also occur after ocular trauma and with some other ocular conditions such as rarely a choroidal tumour (malignant melanoma).

Causes of Retinal Detachment

Retinal detachment can cause blindness if not treated early enough. If the retinal detachment goes across the macular even if surgery is done to put the retina flat, vision can still be distorted and poor as a result of macular involvement.

A family history of retinal detachment or previous history of posterior vitreous detachment can predispose to a retinal detachment i.e. the risk of having a retinal detachment is higher if the patient has a relative who suffers from this problem or the patient has already had posterior vitreous detachment or previous retinal detachment.

Video: What are inherited retinal diseases?

Examination for Retinal Detachment

The patient’s vision is recorded and the eye is examined using a slit lamp and then indirect ophthalmoscopy and using special lenses with which the Ophthalmologist can see the retina, assess the degree of detachment and identify the location of the retinal tears. This is caused an ocular fundus examination.

In order to check the retina the Ophthalmologist will put drops in the eyes which will dilate the pupils allowing a wide retinal view but also has a side-effect of blurring the vision for a few hours. Therefore all patients should attend with a companion as their vision will be blurred at the end of the consultation.

Depending on the specific findings the Ophthalmologist will advise whether merely observation is appropriate if there is a posterior vitreous detachment alone or whether laser surgery or other more invasive surgery is required for a retinal tear or detachment.

Symptoms of Retinal Detachment

The typical symptoms of retinal detachment are floaters, flashes of light and a darkish grey shadow across one area of the visual field, which can progress towards the centre of the vision if not treated. If these symptoms are present an Ophthalmologist should be consulted immediately, as retinal detachment is treatable.

Treatments for Retinal Detachment

The specific treatment that the Ophthalmologist decides for the retinal detachment depends on the size and type, but the vast majority of patients who have an actual retinal detachment require surgery in order to flatten the retina.

Before the retinal starts detaching the first step in the development of a retinal detachment is a retinal tear which can cause floaters and flashes but does not cause the shadow. If the Ophthalmologist can only see a retinal tear then it may be suitable to treat that with laser treatment in the clinic. Some very small and special cases of retinal detachment can also be treated with laser in order to surround the edge of the small detached area and stop fluid from leaking further underneath the retina.

However if there is a proper retinal detachment with significant fluid beneath the retina, then an operation usually inside the eye involving Vitrectomy is needed to flatten the retina and in order to do intraocular laser of the retinal tear. This surgery will require a more specialist opinion and treatment from an Ophthalmologist especially trained in retinal detachment surgery known as Vitreoretinal Surgery.

What our patients say

“Dr Jane Olver was fantastic! She was so caring and sweet and it was clear that she knew what she was doing – very professional! I am absolutely over the moon with my results now!”
“If you have a similar problem, Jane Olver is your woman – I wish I had found her at the start. I will be forever grateful for her care and expertise.”
Nancy W.
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Mariah P.
“From the moment I met her to the moment I left, I was treated with great courtesy and kindness, and everything was explained to me in layman’s terms so I could fully understand my condition. I was immensely impressed.”
“Many thanks to Mr Khan. His prompt diagnosis and explanation was very reassuring indeed.”
Heather M.
“Just keep up the good work Dr Khan. My wife, who accompanied me, and I were both very impressed by the care and consideration shown by the whole team when I had surgery. I just hope they haven’t lost the knack by the time I get my other eye fixed. joking apart the care of this team has made it a wonderful experience for me.”
David S.
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“Dear Mr. Leatherbarrow and the Staff at Clinica London, Just a little not to say thank you very much for the great work you did to my eyes and the treatment I received. I am delighted with the results. Kind regards, Alexia M.”
Alexia M.
“Dear Professor Michel Michaelides , Thank you very much for your letter of the 4th September 2012. Ths means so very much to myself and Victor, during this terrible stressful time. Ever sind my first consultation with you, the caring dedication and understanding I have received from you has been priceless. Thank you with all my heart. Wishing you a healthy and happy future. Yours sincerely Doreen S.”
Doreen S.
“Dear Dr. Michaelides, I just wanted to express mine and my parents gratitude for arranging to see us all today and taking the time to answer all our questions. We left with a much greater understanding of the issues involved with genetic testing, the potential pattern of inheritance I have, and a renewed optimism over advances that could be happening in the field. It was also very helpful and reassuring to see Dr Amar again and be introduced to Jonathan the genetic counsellor – please do pass on our thanks to them as well. Yours sincerely Rachael S.”
Rachael S.
“Dear Professor Michaelides ,
Well done and thank you! You saw me last November for my annual RP assessment. You recommended to see the Glaucoma unit which I duly attended last week. (There was a delay because I had a cataract op in February)I do indeed have glaucoma as well as RP. Thankfully glaucoma is likely to be treatable with drops, so now at last the deterioration in my sight may be least partially arrested. I hope you will recommend to the retinal team that all RP suffers are tested for Glaucoma at fitting intervals. Yours sincerely, Edmund S.”
Edmund S.
“Dear Professor Michaelides ,
On behalf of my mother as well as myself, I would like to thank you for the consultation we had with you last Friday regarding my Usher Type 2/ RP condition. The knowledge and advice you shared with us was much appreciated. Today I received copy of the letter which you sent to my GP as record of the consultation. You might recall I mentioned that I have and indoor cycling frame which is great for an ex-road cyclist. If you should have any other patients who have to give up cycling on the road, I can recommend the “e-motion rollers” which is an American product and allows cyclists to ride their actual bike without modifications – suitable only for road bikes with high tyre pressure. Kind regards, Chris B.”
Chris B.
“Thank you for this, it’s nice to know you got the information you needed and were treated with respect. The team at Clinica London are good and the key thing, as you say, is seeing someone with the speciality in retinal degeneration. David “
“Dear Michel, My wife and I wish to thank you for your kindness and attention with regard to my poor eyesight. Your caring attitude and honest approach to help relieve my problem and find the best solution is overwhelming. And it is with this in mind we would like to express our sincere thanks for everything you have done for me. Kind regards, Maurice K”
Maurice K.
“Mr. Reddy was extremely kind and his special ‘duck’ noises certainly helped catch Talia’s attention and helped his examination run smoothly. Mr. Reddy informed us that Talia’s squint was severe and that glasses would not help her. He explained that she would need surgery. We have recently seen Mr. Reddy and the Orthoptist for a follow up and everyone involved is really pleased with the results of the surgery, most of all it seems is Talia.”
Rebecca and Daniel Corney
“What I loved most was her willingness to take my knowledge of my disease and experience into consideration. I am very impressed and feel lucky to be in her care.”
Fiona M.
“Dr Crawley is always in such a good mood and always does her utmost to help. Best doctor I have ever seen!”
Matthew K.
“Dr Crawley has a wonderful manner, is clearly knowledgeable and is an asset to the hospital.”
Lisa A.
“Thank you for forwarding the medical report. Please convey my thanks to Jane, I was deeply impressed by the politeness and empathy shown to me. I found the surgery very peaceful and beautifully decorated and I hope to see Jane again soon.”
Jeffrey W.
“Dear Jane,
I just wanted to say thank you for seeing me at such short notice. I felt much better after speaking to you and being reassured. I am much calmer and actually got some sleep last night.
I would also like to thank Ingrid, who was so lovely and very professional.
Best wishes, Catherine M.”
Catherine M.
“Thank you for forwarding the medical report. Please convey my thanks to Jane, I was deeply impressed by the politeness and empathy shown to me. I found the surgery very peaceful and beautifully decorated and I hope to see Jane again soon. Jeffrey W.”
Jeffrey W.
“I highly recommend Jane Olver. The whole experience was calm,and highly professional..”
Lorraine M.

“Dear Both,

Many thanks for taking care of my ptosis surgery today.
I am now back home and resting but wanted to send a quick note to thank you for taking such good care of me.

Many thanks, Charmaine”



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