Rhegmatogenous Detachment
![Rhegmatogenous retinal detachment demonstrating a flap tear with one bridging vessel and a posteriorly rolled edge. The irregular retinal folds are caused by mild proliferative vitreoretinopathy (PVR).](https://www.vagelos.columbia.edu/sites/default/files/styles/cola_media_200/public/media/images/2022-03/rhegmatogenous-detachment.jpeg?itok=LCDxb4F4 200w, https://www.vagelos.columbia.edu/sites/default/files/styles/cola_media_260/public/media/images/2022-03/rhegmatogenous-detachment.jpeg?itok=71d8dOmw 260w, https://www.vagelos.columbia.edu/sites/default/files/styles/cola_media_320/public/media/images/2022-03/rhegmatogenous-detachment.jpeg?itok=Ep0eqT_R 320w, https://www.vagelos.columbia.edu/sites/default/files/styles/cola_media_400/public/media/images/2022-03/rhegmatogenous-detachment.jpeg?itok=EfwtOsDL 400w, https://www.vagelos.columbia.edu/sites/default/files/styles/cola_media_1600/public/media/images/2022-03/rhegmatogenous-detachment.jpeg?itok=Li8Xh0hl 430w, https://www.vagelos.columbia.edu/sites/default/files/styles/cola_media_520/public/media/images/2022-03/rhegmatogenous-detachment.jpeg?itok=5wg1blJ- 520w, https://www.vagelos.columbia.edu/sites/default/files/styles/cola_media_640/public/media/images/2022-03/rhegmatogenous-detachment.jpeg?itok=BX_5gQUS 640w, https://www.vagelos.columbia.edu/sites/default/files/styles/cola_media_800/public/media/images/2022-03/rhegmatogenous-detachment.jpeg?itok=T3aKbfav 800w, https://www.vagelos.columbia.edu/sites/default/files/styles/cola_media_1040/public/media/images/2022-03/rhegmatogenous-detachment.jpeg?itok=NYdfBhcV 1040w, https://www.vagelos.columbia.edu/sites/default/files/styles/cola_media_1280/public/media/images/2022-03/rhegmatogenous-detachment.jpeg?itok=YtN5plpJ 1280w)
- The most commonly seen retinal detachment.
- Usually there is/are retinal break(s) induced by posterior vitreous detachment.
- Fluid from liquefied vitreous can pass through the break(s), enter the potential subretinal space and undermine the retina from the RPE.
Signs
- Retinal break(s)
- Undulating bulla, retinal tear flap, or corrugated folds
- Pigment in vitreous (tobacco dusts)
- Syneretic vitreous (liquefaction changes within the corpus vitreous)
- Low intraocular pressure
Management
Identify and treat the breaks by a number of methods such as:
- Scleral buckling, cryotherapy or laser to promote firm chorioretinal adhesion
- Pneumatic retinopexy for selected superior detachment
- Temporary balloon device as a temporary buckling
- Vitrectomy