Understanding Retinal Tears

A retinal tear is a small break in the retina that can lead to retinal detachment if untreated. Early detection and prompt treatment are key to protecting vision.

What Are Retinal Tears?

Retinal tears occur when the retina — the thin layer of tissue at the back of the eye — develops a small rip or hole. This often happens when the vitreous gel inside the eye shrinks or pulls on the retina, especially during age-related changes such as posterior vitreous detachment (PVD).

If left untreated, fluid can pass through the tear and cause a retinal detachment, a serious condition that can lead to permanent vision loss.

Symptoms

Retinal tears may develop suddenly and can include:

01. Flashes of light in the peripheral vision

02. New or sudden increase in floaters

03. Blurred vision

04. A shadow, curtain, or dark spot in the visual field (possible sign of progression to detachment)

Risk Factors

Risk factors for retinal tears include:

Diagnosis & Testing

Doctors diagnose retinal tears with a comprehensive eye exam, which may include:

Dilated Eye Exam:

A closer look at the back of the eye for clearer diagnosis.

Allows direct viewing of the retina and vitreous.

Ophthalmoscopy:

A closer look at the health of the retina.

Provides a detailed view of the retinal surface.

OCT or Ultrasound Imaging:

Essential for viewing hidden retinal details.

Used if the retina cannot be clearly seen due to bleeding or cloudiness.

Treatment Options

Prompt treatment can seal retinal tears and prevent detachment. Options include:

Laser Photocoagulation:

Creates small burns around the tear to seal it to the underlying tissue.

Cryotherapy (Freezing Treatment):

Uses cold therapy to create a scar that secures the retina.

Both procedures are typically performed in-office and are highly effective in preventing detachment.

Living with Retinal Tears

After treatment, most patients resume normal activities with little restriction. Ongoing care may include:

Regular follow-up visits to ensure the tear remains sealed.

Monitoring for new flashes, floaters, or vision changes.

Protecting overall eye health by managing systemic conditions such as diabetes or hypertension.

At Retina Consultants of Hawaii, we provide urgent evaluation and treatment to reduce the risk of retinal detachment and safeguard your vision.

Next Steps in Your Care

If you experience sudden flashes of light, a surge in floaters, or a shadow in your vision, see your eye care provider immediately. If a retinal tear is suspected, they can coordinate specialized care with our team.

Have Questions?