Retinal Detachment Detection and Treatment " David is a 45-year-old bank manager "

Case study ( 1231 views as of November 21, 2017 )

David is a 45-year-old bank manager who visits his optometrist for a routine eye exam. He used to wear eyeglasses, but had laser eye surgery 4 years ago to correct his vision.

Upon examination, the optometrist discovers that David's uncorrected vision is still 20/20 and he requires no correction. A dilated retinal exam was conducted including digital scanning ophthalmoscopy to take pictures of the eye and determine the health of the retina. A retinal detachment was discovered in the mid-periphery of the right eye. Not all retinal detachments come with classic signs of floaters or other vision changes, so it is not uncommon to see a retinal detachment with absolutely no symptoms. David is immediately referred to a retinal specialist who completes successful surgery that afternoon and corrects the retinal detachment.

It is important for David to carefully follow the recovery plan following his surgery with respect to pain management and caring for his eye. Retinal detachment may not always be prevented, however is sometimes linked with inflammatory conditions, high blood pressure and cataract removal. David should follow up with his family physician to see if he has any uncontrolled health issues that should be managed, and could see an exercise specialist and/or massage therapist to increase his activity level and help with relaxation techniques.

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Conversation based on: Retinal Detachment Detection and Treatment " David is a 45-year-old bank manager "

Retinal Detachment Detection and Treatment " David is a 45-year-old bank manager "

  • Is there a possibility that the retinal detachment is a result of the laser surgery he had to correct his vision ?
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    • Based on my understanding of eye anatomy, there would have had to be significant error made during the laser eye surgery to detach the retina - the retina is at the back of the eye, whereas the cornea (which is what gets adjusted for vision correction) is at the front. Also, I think the retinal detachment would have presented itself much sooner than 4 years later if it was a result of the laser eye procedure.
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  • This is such a good example of the importance of keeping up with regular eye exams. I think those of us that wear corrective glasses or lenses find that we are more diligent (I can think of a few people I know with 'perfect vision' that don't have eye exams annually). Eye exams can pick up on many health issues, and in David's case he should definitely visit his doctor for a physical to ensure his health parameters are within normal limits and being well managed.
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    • I could not agree with this more. My sister who is a healthy person had no issues with her eyes. One day she started to see floaters and went to see the eye doctor as they persisted. Her retina was in the process of detaching. She was scheduled very quickly to have surgery to repair it.
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