All retinal tears deemed to carry a risk of deteriorating into a retinal detachment should be seen promptly by a retinal specialist. Many tears or holes in the retina present with no symptoms at all and are incidental findings during a routine eye exam. Some patients may notice symptoms similar to a detachment, such as the appearance of floaters or flashing lights, but their vision remains otherwise unchanged. Depending on the risk factors around the tear or hole, your ophthalmologist may recommend laser treatment to ensure it doesn’t escalate into a detachment.
Central serous chorioretinopathy
This is a retinal condition involving the accumulation of fluid beneath the retina. Risk factors are typically quoted as males aged in their 30s to 50s with a type A (highly stressed) personality, but people not fitting these characteristics can also experience central serous chorioretinopathy. Steroid medications are also a known risk factor for this retinal disease. During an active central serous chorioretinopathy, you may experience a blurring or distortion of your central vision, or the object may appear smaller than when viewing from the unaffected eye. Many retina specialists may opt to simply monitor this condition as it often self-resolves. Stubborn cases can be treated with a laser procedure or medications.
A macula hole can occur as a result of vitreous traction on the central macula. This can lead to a sudden loss of central vision in the affected eye. Surgical repair is considered fairly urgent and recommended by our retinal specialists to prevent permanent central vision loss. Surgical repair is usually very successful.
A fibrotic membrane / scar can form over the macula. This can lead to gradual worsening central distortion and vision loss in the affected eye. Progressive vision loss may require surgery by one of our retinal surgeons. Timely surgery can prevent progressive vision loss.
Note: Any surgical or invasive procedure carries risks. Before proceeding, you should seek a second opinion from an appropriately qualified health practitioner.
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