Retinal Tears/Holes

Aetiology

  • Age-related degeneration of the retina
  • Myopia
  • Eye injuries
  • Eye surgery e.g. cataract

Pathophysiology

  • Retinal hole - caused by chronic retinal atrophy (progressive thinning)
  • Retinal break refers to a full thickness defect in the sensory retina; hen a retinal break is associated with vitreous traction (PVD), it is termed a retinal tear

Clinical presentation

  • Asymptomatic
  • May have photopsia or see floaters

Investigation

  • Fundoscopy

Management

  • Management of retinal tears aims to create adhesions between the retina and the choroid to prevent detachment
  • This can be done using laser therapy or cryotherapy

Complications

  • Retinal detachment