Primary Rhegmatogenous Retinal Detachment

Primary rhegmatogenous retinal detachment is spontaneous separation of the neurosensory retina due to a retinal break, associated with posterior vitreous detachment and risk factors such as high myopia, cataract surgery, and family history. Clinical: photopsia, floaters, and progressive visual-field curtain. It is an emergency; delay threatens central vision. Treatment: scleral buckle, pars-plana vitrectomy, or pneumatic retinopexy depending on break/location; treat any associated PVR.

Common Symptoms

Flashes/floaters; visual-field curtain; reduced central vision if macula off; high myopia/PVD

Causes and Pathogenesis

Vitreous traction creates a retinal break; fluid passes under the sensory retina, detaching it.

Treatment

Urgent buckle/vitrectomy/pneumatic retinopexy; treat PVR

Preventive Measures

Symptoms education; high-myopia follow-up; treat retinal breaks early.

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.