1. RETINAL
DETACHMENT
By Diah Fauzia, S.Kep., Ns

2. RETINA
• light-sensitive
layer of tissue
• sends visual
messages
through the optic
nerve

3. • pulled away from the
underlying choroid
• small areas of the retina
torn =>
retinal tears or retinal
breaks
• retinal cells deprived of
oxygen
• if not promptly treated =>
permanent vision loss

4. SYMPTOMS
• floaters - bits of
debris in field of
vision that look
like spots, hairs
or strings

6. SYMPTOMS
• floaters
• light flashes
• shadow or curtain
over a portion of
visual field
• blur in vision

7. Can occur as a result of:
• trauma
• advanced diabetes
• an inflammatory disorder, such as
sarcoidosis
• shrinkage of the jelly-like vitreous
that fills the inside of the eye

8. • vitreous liquid
leaks through
retinal tear and
accumulates
underneath retina
• retina can peel
away from
underlying layer
of blood vessels

9. Factors that may increase risk of retinal
detachment:
• aging - more common in people older than
40
• previous retinal detachment in one eye
• family history of retinal detachment
• extreme nearsightedness
• previous eye surgery
• previous severe eye injury or trauma

10. TREATMENTS
Retinal tears:
• laser surgery (photocoagulation)
• freezing (cryopexy)
Retinal detachment:
• pneumatic retinopexy
• scleral buckling
• vitrectomy

11. PHOTOCOAGULATION

12. CRYOPEXY

13. PNEUMATIC RETINOPEXY

14. PNEUMATIC RETINOPEXY

15. SCLERAL BUCKLING

16. VITRECTOMY

17. When a surgeon injects a bubble
of expandable gas into the
vitreous cavity it is called:
•
•
•
•
•
scleral buckling
vitrectomy
pneumatic retinopexy
photocoagulation
cryopexy

18. When a surgeon uses intense cold to freeze
the retina around the retinal tear it is
called;
• Scleral buckling
• Vitrectomy
• Pneumatic retinopexy
• Photocoagulation
• Cryopexy

19. ASUHAN KEPERAWATAN

20. Pengkajian
• Flashes of light
( photopsia)
• Floaters
• Blurred vision
• Sense of curtain being drawn
• Loss of portion of visual field

21. Diagnosa

22. Intervensi
• Emergency RX
– Apply eye patches to both eyes
– Provide bed rest
• Surgical RX
– Gas / Oil inserted inside eye to compress retina.
Postop – position on abdomen, head turned with
unaffected eye up X 1 week
– Scleral buckling – silicone band around eye to hold
choroid and retinal layers together

23. Implementasi

24. SEMOGA BERMANFAAT