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Retinal detachments

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					                                Retinal detachments


DEFINITIONS
Retinal detachment occurs when the retina Neurosensori separation of retinal pigment
epithelial layer below the retina Neurosensori because, part of the retina contains rods
and cones, chipped from nourishers pigmented epithelium, the photosensitive cells is not
able to perform activities of visual function and result in loss of vision (C. Smelzer,
Suzanne, 2002).

CAUSE
a. Congenital Malformations
b. Metabolic disorders
c. Vascular disease
d. Intraocular inflammation
e. Neoplasms
f. Trauma
g. Degenerative changes in the vitreous or retina
        (C. Smelzer, Suzanne, 2002).

CLINICAL
• History to see objects float or glow or both
• Floater perceived as small black dots / house spider
• Patients will see a growing shadow or curtain moving dilapang of view when the retina
is really detached from the pigmented epithelium
• Drastic reduction of central sight loss AAU menunjjukkan central view that the
involvement of the macula


MANAGEMENT

 Bed rest and limited activity
 If both eyes bandaged, other people need help to prevent injury
 If there are waves of air in the eye, the recommended position should dipertahannkan so
that the gas is able to provide effective tamponade in retinal tears
 Patients should not be lying supine
 pupil dilation should be maintained to facilitate the examination of post operative
 How to Treatment:
• Laser Procedures
To deal with exudative retinal detachment / serosa with respect to the process associated
with tumors or inflammation that causes cairansubretina without retinal tears.
The goal is to form scar tissue that attach to the retina pigmented epithelium.
• Surgery
Diabetic retinopathy / trauma with vitreous hemorrhage requiring vitreous surgery to
reduce the drag force on the retina caused.
Folding (buckling) sclera is the primary surgical procedure to re-attach the retina.
• Cryotherapy transkleral
Performed on approximately every tear retinal adhesion korioretina produce a fold tear so
that the liquid can no longer enter the vitreous cavity subretina. A / multiple silicon (lock)
sewn and folded into the skler, will physically mengindensi / fold the sclera, choroid, the
pigmented epithelium danlapisan photosensitive, holding tears back when the retina can
be attached to the supporting tissues underneath, it ormalnya physiological function can
be restored.
(C. Smelzer, Suzanne, 2002).

COMPLICATIONS
a. Early complications after surgery
Increased IOP
 Glaucoma
 Infection
Choroid detachments
 sticking retinaFailure
 recurrent retinal detachment
b. Further Complications
 Infection
 through the conjunctiva or erosion through the eyeballThe loss of material buckling
 Vitreo retinpati proliveratif (scarring of the retina)
 Diplopia
 refractive error
 astigmatism

REFERENCES

C. Smeltzer, Suzanne (2002). Textbook of Medical Surgical Nursing (Brunner &
Suddart). Edition 8. Volume 3. EGC. jakarta

				
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Description: Retinal detachment occurs when the retina Neurosensori separation of retinal pigment epithelial layer below the retina Neurosensori because, part of the retina contains rods and cones, chipped from nourishers pigmented epithelium, the photosensitive cells is not able to perform activities of visual function and result in loss of vision (C. Smelzer,