Reticula detachment, the full name is retinal detachment.
It is a serious blinding eye disease.
In people's perceptions.
These diseases are contracted by older people.
But actually. There are not many young patients!
Three months ago, 15-year-old Xiao Liu (pseudonym) suddenly felt a decrease in vision in his right eye, and the child and parents thought it was a deepening myopia and did not pay attention to it. Recently, I went to the local hospital for treatment, and when I was about to get glasses, I found that it was not myopia, but retinal detachment!After some inquiry, the family learned that the fundus surgery of the Second People's Hospital of Foshan City was skilled, and they immediately rushed to Foshan to find Dr. Shen Peiyang, director of the fourth ophthalmology department and director of fundus surgery of the Second Hospital of Foshan City.
In response to Xiao Liu's condition, the medical team of the fourth department of ophthalmology perfected the relevant retinal examination for him, and finally confirmed that Xiao Liu was due to the presence of familial exudative vitreoretinopathy, which led to retinal detachment. Familial exudative vitreoretinopathy (FEVR) is an inherited retinal disorder characterized by abnormal retinal vascular development that results in incomplete vascularization of the peripheral retina and consequent retinal ischemia.
Xiao Liu's retinal detachment has a long course of disease, and there are already subretinal hyperplasia strips, and what is more troublesome is that no clear retinal tear was found after detailed examination. In view of Xiao Liu's complex situation, Director Shen Peiyang organized the medical team to discuss difficult cases, and made a detailed plan for every difficulty and corresponding treatment before, during and after the operation. In the end, Director Shen Peiyang performed "ceiling lamp-assisted retinal detachment and external reduction surgery" for Xiao Liu. With sufficient experience and superb surgical skills, Director Shen minimized the damage to the eye structure during the operation, and Xiao Liu's retina was successfully reduced on the first day after surgery, and Xiao Liu's father was very excited. He happily told Director Shen that the "big stone" in his heart had finally been put down, and he sincerely thanked Director Shen and all the medical staff of the Fourth Department of Ophthalmology!
Preoperative fundus photography shows extensive underlying retinal detachment and subretinal proliferative cords.
Postoperative retinal reduction.
And Xiao Liu's retinal detachment is not an isolated case!
Xiao Wu, a 16-year-old high school girl, has been a high myopia patient for many years. Like Xiao Liu, she also thought that her vision loss was due to the aggravation of myopia, so when she came to the hospital to change her glasses, she found out that she had retinal detachment!Due to the long time of retinal detachment, many proliferative cords have grown under the retina, and Director Shen performed "ceiling lamp-assisted retinal detachment external reduction surgery (cerclage combined with silicone cushion pressure)" for her, and Xiao Wu's retina was successfully reduced after surgery.
Before surgery, there was a large retinal bulge below the retina with many hypertrophic cords.
After surgery, the retina was successfully reduced.
But it's a pity.
Because the course of the disease is too long (doctors judge that the retinal detachment time may be more than half a year).
Timely intervention was not carried out in the early stages**.
The two young men had irreversible damage to their retina.
Even after the road to surgical success.
Vision also does not fully regain ......
As we all know, there are more and more teenagers with myopia, especially high myopia will seriously affect the physical and mental health of teenagers. Retinopathy is a group of blinding eye diseases that cannot be ignored in myopic people, and the incidence of retinal detachment has increased significantly in recent years, especially in adolescents.
In fact, it is very common for adolescent patients to not find retinal detachment in time, Shen Peiyang said: "Some children have retinal detachment in one eye, and the other eye is good and can still see, so they don't pay attention to it and don't tell their parents;There are also some adolescents whose retina is detached in the peripheral part and has not yet affected the central vision, and the vision is relatively good and does not care;Most parents of myopic children only pay attention to the child's glasses, but do not pay attention to the fundus examination, and when the child is found to have serious vision problems and then go to the hospital to check the fundus, the child's retinal detachment is often at an advanced stage."
What are the causes of retinal detachment in children?
Myopia: Moderate to high myopia is prone to vitreous degeneration and posterior detachment. Retinal degeneration, such as lattice degeneration and paving stone degeneration, is more likely to be seen in myopic eyes. The peripheral retina of myopia is relatively fragile, and there is vitreoretinal traction, which reduces the adhesion of the retina and can easily lead to retinal detachment.
Aphak: Children with congenital cataracts who have vitreous complications after cataract surgery are particularly susceptible to retinal detachment.
Trauma: In contusion, the moment of impact movement can temporarily deform the eyeball, although the wall of the eye can adapt to the external force, but the vitreous cannot, at this time, the base of the vitreous is separated from the ball wall, and it is easy to produce retinal serration margin. Perforating trauma can cause direct retinal detachment, whereas later vitreous proliferation can lead to traction detachment.
Familial exudative retinopathy.
Retinal detachment may occur in the presence of retinopathy of prematurity, vascular lesions such as coats disease.
Reminder: High myopia to avoid some strenuous exercise.
People with high myopia are prone to mesh detachment. Young people, on the other hand, are prone to injuries during sports because of their age, especially some strenuous sports with strong confrontation.
Remind young people with high myopia not to make sharp turns and swoops down when doing strenuous exercise and game entertainment. Diving, bungee jumping, roller coasters, etc. should be tried cautiously to avoid causing instantaneous pressure on the eyeball, which is like a heavy punch to the eye, which can easily lead to retinal separation.
On the other hand, it is recommended that parents of children who have not yet developed high myopia must pay attention to delaying the development of myopia and control the degree within 600 degrees. Do a detailed fundus examination every six months, prevention is better than **.