What Happens
Retinal detachment can progress quickly. Because
retinal detachment affects side (peripheral) vision first, you may not notice
the vision loss right away. If not treated, detachment can spread to the centre
of the retina (macula) and damage
central vision.
Retinal detachment requires urgent care. Without treatment, vision
loss from retinal detachment can progress from minor to severe or even to
blindness within a few hours or days.
See an illustration of a
detached
retina
.
Retinal tears and holes, however, may not need treatment. The
retina sometimes develops small, round holes as it
ages, and many of them will not lead to retinal detachment. Retinal tears
caused by the
vitreous gel pulling on the retina (vitreous traction)
are more likely to cause retinal detachments.
Tears in the retina caused by vitreous traction tend to cause
flashes and floaters. A tear that does not occur with vitreous traction and
therefore develops without symptoms is far less likely
to lead to a retinal detachment than a tear that occurs with symptoms.
If the retina has detached, you will need surgery to reattach it
and restore vision. If you have had a retinal detachment in one eye, you have a
greater chance of developing one in the other eye.