Retinal detachment

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Summary of Retinal detachment

Retinal detachment is a disorder of the eye in which the retina peels away from its underlying layer of support tissue. Initial detachment may be localized or broad, but without rapid treatment the entire retina may detach, leading to vision loss and blindness. It is almost always classified as a medical emergency. Permanent damage may occur if the detachment is not repaired within 24–72 hours.

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Retinal detachment

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Retinal detachment

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A 66-year-old man comes to the emergency department because of vision changes. About 2 hours ago, he experienced a sudden flash of light followed by many floaters in his right eye. His visual disturbances have since progressed to a peripheral loss of vision that is spreading to the rest of his visual field. His past medical history is significant for type 2 diabetes mellitus and bilateral cataracts which were corrected surgically. External examination of the eye shows reactive pupils and intact extra-ocular movements. Slit-lamp examination reveals the image shown below. Which of the following is the most likely diagnosis?

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