Retinal Tear vs. Retinal Detachment | Retina Associates Kansas City (2024)

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Posted on October 22, 2018 by Retina Associates, LLC in Retinal Diseases

Retinal Tear vs. Retinal Detachment | Retina Associates Kansas City (1)

The retina is the thin, light-sensitive tissue located at the back of the eye. When the retina becomes damaged, it can lead to serious loss of vision and severe, if not permanent, changes to your vision quality. Our Kansas City, MO eye care center can treat retinal conditions of all kinds, even tears and detachment. Part of the treatment process sometimes involves knowing what condition a patient has.

With this in mind, the team at Retina Associates would like to go over the differences between retinal tears and retinal detachment. You may be surprised to learn how different these conditions are, yet how they are ultimately interrelated.

About Retinal Tears

Retinal tears refer to small rips in the retinal tissue. The retina has not full detached, but potions of it are no longer attached to the back of the eye as it ought to be. A retinal tear may be a precursor to retinal detachment.

Causes of Retinal Tears

The most common cause of retinal tears involves the vitreous gel within the eyes. Sometimes the gel adheres to the retina and pulls on it over time. The pull by the vitreous gel can cause tears to form along the retina. Physical trauma can also cause or contribute to the formation of a retinal tear.

Signs and Symptoms of Retinal Tears

The most common signs and symptoms of retinal tears include:

  • Sudden appearance of floaters
  • Black spots in field of vision
  • Flashes of light
  • Blurry vision
  • Darker/dimmer vision
  • Loss of peripheral vision

Note that in some cases, a retinal tear may form without any noticeable symptoms.

Treatment for Retinal Tears

Retinal tears can be treated with a freezing procedure called cryotherapy, which essentially spot welds the torn portion of the retina back in place. Some low-risk tears may not require treatment and simply involve regular monitoring and adjustments to the patient’s lifestyle to promote healing and wellness.

About Retinal Detachment

Retinal detachment refers to the full lack of attachment of the retinal tissue along the back of the eye. This is more severe than retinal tears. The longer that a detached retina remains detached, the greater the risk of permanent vision loss.

Causes of Retinal Detachment

Like retinal tears, retinal detachment can be caused by the vitreous gel tugging at the retina and pulling away from eh back of the eye. Scar tissue on the retina can also contribute to detachment over time. Fluid may also accumulate beneath the retina over time, resulting in a higher risk of detachment.

As with tears, physical trauma can also contribute to the detachment of the retinas.

Signs and Symptoms of Retinal Detachment

The most common signs and symptoms of retinal detachment include:

  • Sudden appearance of floaters
  • Black spots in field of vision
  • Flashes of light
  • Blurry vision
  • Darker/dimmer vision
  • Loss of peripheral vision

You’ll note that the symptoms for retinal tears and retinal detachment are the same. Like retinal tears, retinal detachment is often painless.

Treatment for Retinal Detachment

Cryotherapy or laser therapy (photocoagulation) can be used to help weld the detached portion of the retina back in place. Retinal detachment may also be treated through the use of gas bubble injected into the eye to help push the detached tissue back in place. Other procedures include indenting the surface of the eye to press the retina back into position (scleral buckling), and replacing the vitreous gel in the eye (vitrectomy).

Risk Factors for Retinal Tears and Detachment

The most common risk factors for retinal tears and detachment are as follows:

  • Advanced age (more common in people age 50 and older)
  • Family history of retinal detachment
  • Previous retinal detachment or tears
  • Previous eye injury
  • Previous eye surgery
  • Previous severe eye disease
  • Extreme myopia (nearsightedness)

Contact Retina Associates

For more information about treating retinal conditions of all kinds, be sure to contact the team at Retina Associates. Our doctors are here to help restore and improve your vision. Our Kansas City office can be reached by phone at (816) 505-3400, and our Topeka office can be reached at (785) 271-2200.

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Retinal Tear vs. Retinal Detachment | Retina Associates Kansas City (2024)

FAQs

How to tell the difference between retinal tear and retinal detachment? ›

The initial symptoms of a retinal detachment are the same as a retinal tear or a posterior vitreous detachment, i.e., flashes and floaters; however, as the detachment progresses, a dark, opaque, moon-shaped shadow or curtain will appear from one side of your vision.

Is a retinal tear covered by insurance? ›

Generally, medically necessary eye surgeries, such as those performed to treat cataracts, glaucoma, or retinal detachments, are often covered by health insurance. However, elective procedures like LASIK or cosmetic surgeries may not be covered.

How urgent is retinal tear surgery? ›

Most retinal detachment repair operations are urgent. If holes or tears in the retina are found before the retina detaches, the eye doctor can close the holes using a laser. This procedure is most often done in the eye doctor's office.

Can an ophthalmologist see a retinal tear? ›

The doctor may use an instrument with a bright light and special lenses to examine the back of your eye, including the retina. This type of device provides a highly detailed view of your whole eye, allowing the doctor to see any retinal holes, tears or detachments.

Should I go to the emergency room for a retinal tear? ›

If you have symptoms of a detached retina, it's important to go to your eye doctor or the emergency room right away. The symptoms of retinal detachment often come on quickly.

What happens if you don't fix a retinal tear? ›

Doctors also call it detached retina. Since your retina can't work properly when this happens, you could have permanent vision loss if you don't get it treated right away. Call your eye doctor or have someone take you to the ER.

How much does laser treatment for retinal tear cost? ›

3,000 to Rs. 5,000 per eye. Recommended for retinal tears or holes, it involves using a laser to burn the retina, which results in the formation of scar tissue that reattaches the retinal tissue with epithelium.

Can a retinal tear heal without surgery? ›

Not all retinal tears require treatment. When low-risk tears are identified in patients who have no symptoms, these tears can be observed without treatment. Some tears “treat themselves,” meaning they develop adhesion around the tear without treatment, and these situations can be followed without treatment as well.

How long can you wait to fix a retinal tear? ›

In general, if your ophthalmologist is recommending surgery for a retinal tear, it is better to have the treatment promptly, rather than waiting several weeks to a month.

How long can a torn retina go untreated? ›

People can lose their sight within several hours of the detachment or within a few days. It is best that people who are experiencing symptoms seek treatment right away to reduce the chances of losing sight permanently.

How long are you off work with a retinal tear? ›

Avoid quick head movements and avoid doing anything strenuous, such as lifting, cleaning, gardening, etc. Depending on the work you do, you should consider taking anywhere from 2-4 weeks off of work.

What does vision look like with a retinal tear? ›

Symptoms of a retinal tear may include: Flashes of light (photopsia). Suddenly seeing more black spots or floaters than usual. Darkening vision.

What does your vision look like with a torn retina? ›

The sudden appearance of many floaters — tiny specks that seem to drift through your field of vision. Flashes of light in one or both eyes (photopsia) Blurred vision. Gradually reduced side (peripheral) vision.

What do retinal tear flashes look like? ›

A torn retina is not painful, and you may not initially have any apparent signs. Symptoms of a retinal tear include flashes and floaters: Flashes look like flashing lights, streaks of lightning, or stars in your field of vision.

How long before a retinal tear becomes a detachment? ›

Risk Factors

Usually, it takes three months after seeing a first “floater” for the vitreous to detach from the retina completely. Retinal detachment is more common in people over age 40. But it can happen at any age.

How do you know if you have a retina tear? ›

Symptoms of a retinal tear may include: Flashes of light (photopsia). Suddenly seeing more black spots or floaters than usual. Darkening vision.

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