THE SIGNIFICANCE OF ARGON LASER IN PATIENTS WITH PERIPHERAL RETINAL BREAKS IN PREVENTING RETINAL DETACHMENT

Retinal detachment is a risk to one's vision that occurs about 1 in 10,000 times. Prior to the 1920s, this disease was completely blinding. Restoration of retinal detachments has been much simpler over the past 50 years thanks to procedures like scleral buckling, pneumatic retinopexy, and vitrectomy. Rhegmatogenous, tractional, and exudative retinal detachments are the three types. When subretinal fluid accumulates between the retinal pigment epithelium and the neurosensory retina, retinal detachment occurs. During this phase, three things might occur. Breaking the retina is one way to let vitreous directly enter the subretinal region. This retinal detachment is rhegmatogenous. Rhegmatogenous retinal detachments are frequently brought on by trauma- or posterior vitreous-separated-induced retinal tears. The growth of membranes on the vitreous or retinal surface is a second mechanism.These membranes have the capacity to physically divide the retinal pigment epithelium from the neurosensory retina. A tractional retinal detachment is what this is. Proliferative retinopathy caused by sickle cell anemia, diabetes, or other conditions that neovascularize the retina can cause tractional retinal detachment. Proliferative vitreoretinopathy following trauma or surgery may also contribute to tractional retinal detachments. Fluid exuding from a mass lesion or an accumulation of subretinal fluid caused by inflammatory mediators are the third causes of retinal detachment. Serous or exudative retinal detachment is the term used to describe this mechanism. Sarcoidosis and choroidal neoplasms are two examples of inflammatory or exudative retinal disease processes that can cause serous detachments. Patients with aggressively spreading cancers, such as testicular cancer, may also have serous retinal detachments. A case study of a retinal detachment without a profilactive argon laser and a known peripheral retinal break is presented. The patient arrived at our clinic with symptoms of retinal detachment that had been present for two to three weeks, as well as peripheral retinal breaks that had been photographed eight months prior.

Keywords: Retinal detachment; peripheral retinal breaks; rhegmatogenous; tractional; exudative; profilactive argon laser.