Giant-Rhegmatogenous Retinal Detachment

Giant-rhegmatogenous retinal detachment is retinal detachment associated with a large retinal tear (extending over 90 degrees), often with rolled-over edges and high risk of proliferative vitreoretinopathy. Clinical: flashes/floaters/curtain. Treatment: urgent pars-plana vitrectomy with endolaser, perfluorocarbon, and silicone oil/gas tamponade; scleral buckle adjunct; high recurrence risk.

Common Symptoms

Flashes/floaters/curtain; large retinal tear on exam; high myopia/trauma risk

Causes and Pathogenesis

Large retinal break allows fluid under sensory retina, causing detachment with rolled edges.

Treatment

Urgent vitrectomy with endolaser/PFO/silicone oil; buckle adjunct; high recurrence

Preventive Measures

Urgent surgery; monitor fellow eye.

Department to Visit

It is recommended to visit the Ophthalmology department; an appointment can be booked on this platform before the visit.

Warm reminder: The above information is for health science reference only and cannot replace professional medical diagnosis. If you have related symptoms, please seek medical attention at a regular hospital promptly.