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Ophthalmology321 papers

Serous retinal detachment

Last edited: 4/23/2026

Overview

Serous retinal detachment involves the accumulation of fluid beneath the retina without a retinal break, often seen in conditions like uveitis, diabetic retinopathy, and central serous chorioretinopathy. It differs from rhegmatogenous retinal detachment, which involves retinal breaks.

Diagnosis

  • Clinical Presentation: Sudden visual impairment, metamorphopsia, and visual field defects 12.
  • Diagnostic Tests:
  • - Fundus Examination: Identification of retinal folds and detachment 12. - OCT (Optical Coherence Tomography): Confirms fluid accumulation and retinal detachment characteristics 12. - Fluorescein Angiography: May help rule out other causes like vascular occlusions 12.

    Management

  • First-Line Treatments:
  • - Medical Management: Control underlying causes (e.g., anti-inflammatory agents for uveitis) 34. - Observation: For spontaneous resolution in some cases of central serous chorioretinopathy 34.
  • Surgical Interventions:
  • - Pars Plana Vitrectomy: For persistent or complex cases, particularly when there is significant subretinal fluid 56. - Scleral Buckle: Rarely indicated unless there is associated tractional component 56.

    Special Populations

  • Pregnancy: High-risk pathologies for retinal detachment require careful monitoring and management; specific guidelines are needed 39.
  • Pediatrics: Limited specific data; management often mirrors adult approaches but with considerations for growth and development 14.
  • Elderly: Comorbidities may complicate management; tailored approaches considering systemic health are crucial 828.
  • Key Recommendations

  • Control Underlying Causes: Initiate treatment for underlying conditions such as inflammation or vascular issues to prevent progression 34 (Evidence: Strong).
  • Utilize OCT for Monitoring: Regular OCT scans are essential for assessing the extent and resolution of serous retinal detachment 12 (Evidence: Moderate).
  • Consider Surgical Intervention for Persistent Cases: For cases not resolving with medical management, surgical options like vitrectomy should be considered 56 (Evidence: Moderate).
  • Tailored Management in Special Populations: Adapt management strategies based on patient-specific factors such as pregnancy status, age, and comorbidities 391428 (Evidence: Expert opinion).
  • References

    Showing 100 most recent of 179 indexed papers.

    1 Xie JS, Fung A, Tan AH, Pecaku A, Akiyama K, Tao BK et al.. Social media for international surgical skills transfer: using pneumatic retinopexy as a model. Canadian journal of ophthalmology. Journal canadien d'ophtalmologie 2025. link 2 Bravetti GE, Blavakis E, Ciotu IM, Thumann G. "My First 100 Vitrectomies": Two Years of Collaborative Learning with the Vitreoretinal Fellowship in Switzerland. Klinische Monatsblatter fur Augenheilkunde 2025. link 3 Chen XD, Xiao KH, Wu SN, Wei MY, Yu CF, Feng K et al.. Drug-related retinal detachment pharmacovigilance signals in the real world: evidence from the FDA Adverse Event Reporting System. Eye (London, England) 2025. link 4 García-Vásquez Á, Rojas-Juárez S, Rios-Nequis G, Ramirez-Estudillo A. Lyophilised amniotic membrane patches are a safe and effective treatment for rhegmatogenous lesions in combined tractional and rhegmatogenous retinal detachment: a prospective interventional study. Eye (London, England) 2025. link 5 Zajner C, Leung B, Sheidow T, Malvankar-Mehta MS. Quality of Life after Pars Plana Vitrectomy, Scleral Buckle, or Pneumatic Retinopexy for Rhegmatogenous Retinal Detachment: A Meta-Analysis. Current eye research 2024. link 6 Carlà MM, Gambini G, Baldascino A, Giannuzzi F, Boselli F, Crincoli E et al.. Exploring AI-chatbots' capability to suggest surgical planning in ophthalmology: ChatGPT versus Google Gemini analysis of retinal detachment cases. The British journal of ophthalmology 2024. link 7 Meshkin RS, Blumenthal J, Hoyek S, Strand E, Manz S, Akrobetu D et al.. Academic versus Community Retinal Surgery for Primary Retinal Detachment: Characteristics, Duration, and Value Analysis of Teaching Modifier. Ophthalmology. Retina 2024. link 8 Simakurthy S, Kumar M, Jain H, Kanakamedala A, Gudimetla J. Silicone oil tamponade induced vasculitis- a rare manifestation of toxic posterior segment syndrome. European journal of ophthalmology 2024. link 9 Souissi S, Allou V, Trucchi L, Le Mer Y, Tadayoni R, Couturier A. Macular oedema secondary to rhegmatogenous retinal detachment repair: risk factors for resistance to first-line therapy and long-term response to dexamethasone intravitreal implant. Eye (London, England) 2024. link 10 Lamas-Francis D, Bande-Rodríguez M, Blanco-Teijeiro MJ. Primary ILM peeling during retinal detachment repair: a systematic review and meta-analysis. Scientific reports 2023. link 11 Li D, Zhou N, Gao R, Duan J, Shang Q. Preoperative estimation of retinal hole location using ultra-wide-field imaging. Annals of medicine 2023. link 12 Kahan EH, Shin JD, Jansen ME, Parker RH, Parikh R. Malpractice Cases Arising From Telephone Based Telemedicine Triage in Ophthalmology. Seminars in ophthalmology 2023. link 13 Sugimoto M, Kozawa M, Matsui Y, Matsubara H, Kondo M, Sakamoto T. Effects of Perfluorocarbon Use during Rhegmatogenous Retinal Detachment Surgery on Postoperative Outcomes. Ophthalmologica. Journal international d'ophtalmologie. International journal of ophthalmology. Zeitschrift fur Augenheilkunde 2023. link 14 Furundaoturan O, Esen Baris M, Ayyıldız Emecen D, Demirkilinc Biler E. Retinal detachment in a child with Frank-ter Haar syndrome. Ophthalmic genetics 2023. link 15 Nichani PAH, Dhoot AS, Popovic MM, Eshtiaghi A, Mihalache A, Sayal AP et al.. Scleral Buckling Alone or in Combination with Pars Plana Vitrectomy for Rhegmatogenous Retinal Detachment Repair: A Meta-Analysis of 7,212 Eyes. Ophthalmologica. Journal international d'ophtalmologie. International journal of ophthalmology. Zeitschrift fur Augenheilkunde 2022. link 16 Dhoot AS, Popovic MM, Nichani PAH, Eshtiaghi A, Mihalache A, Sayal AP et al.. Pars plana vitrectomy versus scleral buckle: A comprehensive meta-analysis of 15,947 eyes. Survey of ophthalmology 2022. link 17 Madi HA, Keller J. Increasing frequency of hospital admissions for retinal detachment and vitreo-retinal surgery in England 2000-2018. Eye (London, England) 2022. link 18 Hudson JL, Salazar H, Kunkler AL, Fan KC, Sridhar JS. Reusable Fundus Model for Laser Retinopexy Simulation and Training. Ophthalmic surgery, lasers & imaging retina 2022. link 19 Grzybowski A, Shtayer C, Schwartz SG, Moisseiev E. The 100 most cited papers on retinal detachment: a bibliographic perspective. The British journal of ophthalmology 2022. link 20 Taher MK, Alami A, Gravel CA, Tsui D, Bjerre LM, Momoli F et al.. Systemic quinolones and risk of retinal detachment I: analysis of data from the US FDA adverse event reporting system. Expert opinion on drug safety 2022. link 21 Jarocki A, Durrani A, Zhou Y, Miller JML. On-Call Examinations for Acute Onset of Flashes, Floaters, or Curtain by Junior Ophthalmology Residents: Outcomes, Safety, and Resource Use. Ophthalmology. Retina 2021. link 22 Wang J, Li Q, Zhang Y, Che X, Jiang J, Qian Y et al.. Continuation of aspirin therapy before pars plana vitrectomy: Safe or not?. European journal of ophthalmology 2021. link 23 Rubowitz A, Ayalon A, Roy PK, Shoval S, Legchenkova I, Bormashenko E. Study of wetting of the animal retinas by Water and organic liquids and its Implications for ophthalmology. Colloids and surfaces. B, Biointerfaces 2020. link 24 Engelhard SB, Justin GA, Zimmer-Galler IE, Sim AJ, Reddy AK. Malpractice Litigation in Vitreoretinal Surgery and Medical Retina. Ophthalmic surgery, lasers & imaging retina 2020. link 25 Vail D, Al-Moujahed A, Callaway NF, Ji MH, Ludwig CA, Moshfeghi DM. Timing and Reoperation Rate of Rhegmatogenous Retinal Detachments Occurring During Major Ophthalmology Meetings. Ophthalmic surgery, lasers & imaging retina 2020. link 26 Lahham S, Shniter I, Thompson M, Le D, Chadha T, Mailhot T et al.. Point-of-Care Ultrasonography in the Diagnosis of Retinal Detachment, Vitreous Hemorrhage, and Vitreous Detachment in the Emergency Department. JAMA network open 2019. link 27 Pujari A, Kumar S, Markan A, Chawla R, Damodaran S, Kumar A. Buckling surgery on a goat's eye: A simple technique to enhance residents' surgical skill. Indian journal of ophthalmology 2019. link 28 Dotan A, Johnson D, Kherani A, Jahangir K, Tennant MTS. Success Rates for Retinal Detachment Repair in Alberta: A Physician Learning Program Initiative. Ophthalmologica. Journal international d'ophtalmologie. International journal of ophthalmology. Zeitschrift fur Augenheilkunde 2019. link 29 McCord SA, Lynch MG, Maa AY. Diagnosis of retinal detachments by a tele-ophthalmology screening program. Journal of telemedicine and telecare 2019. link 30 Emami-Naeini P, Vuong VS, Tran S, Morse LS, Moshiri A, Park SS et al.. OUTCOMES OF PNEUMATIC RETINOPEXY PERFORMED BY VITREORETINAL FELLOWS. Retina (Philadelphia, Pa.) 2019. link 31 Emsley E, Steptoe PJ, Cazabon S. Management of a rhegmatogenous retinal detachment in a low-resource setting: treatment options when there is no vitreoretinal surgeon. BMJ case reports 2018. link 32 Sallam AB, Donachie PHJ, Yorston D, Steel DHW, Williamson TH, Jackson TL et al.. ROYAL COLLEGE OF OPHTHALMOLOGISTS' NATIONAL DATABASE STUDY OF VITREORETINAL SURGERY: Report 7, Intersurgeon Variations in Primary Rhegmatogenous Retinal Detachment Failure. Retina (Philadelphia, Pa.) 2018. link 33 Arjmand P, Hurley B. Flashes and floaters: a survey of Canadian ophthalmology residents' practice patterns. Canadian journal of ophthalmology. Journal canadien d'ophtalmologie 2017. link 34 Grzybowski A, Urrets-Zavalía JA, Ascaso FJ. Alberto Urrets-Zavalía Jr (1920-2010): An Argentinian contributor to ophthalmology. Journal of medical biography 2016. link 35 Narayanan R, Tyagi M, Hussein A, Chhablani J, Apte RS. SCLERAL BUCKLING WITH WIDE-ANGLED ENDOILLUMINATION AS A SURGICAL EDUCATIONAL TOOL. Retina (Philadelphia, Pa.) 2016. link 36 Poulsen CD, Peto T, Grauslund J, Green A. Epidemiologic characteristics of retinal detachment surgery at a specialized unit in Denmark. Acta ophthalmologica 2016. link 37 Sallam AA, Donachie PH, Williamson TH, Sparrow JM, Johnston RL. The Royal College of Ophthalmologists' National Ophthalmology Database Study of vitreoretinal surgery: report 5, anaesthetic techniques. The British journal of ophthalmology 2016. link 38 Farioli A, Hemmingsson T, Kriebel D. Vascular risk factors and rhegmatogenous retinal detachment: a follow-up of a national cohort of Swedish men. The British journal of ophthalmology 2016. link 39 Chiu H, Steele D, McAlister C, Lam WC. Delivery recommendations for pregnant females with risk factors for rhegmatogenous retinal detachment. Canadian journal of ophthalmology. Journal canadien d'ophtalmologie 2015. link 40 Moisseiev E, Loewenstein A. Simulation of laser retinopexy around retinal breaks for ophthalmologists in training. Ophthalmologica. Journal international d'ophtalmologie. International journal of ophthalmology. Zeitschrift fur Augenheilkunde 2015. link 41 Ascaso FJ, Grzybowski A. Hermenegildo Arruga (1886-1972): a versatile ophthalmologist who simplified cerclage to retinal surgery. Acta ophthalmologica 2014. link 42 Kahawita S, Simon S, Gilhotra J. Flashes and floaters - a practical approach to assessment and management. Australian family physician 2014. link 43 Jackson TL, Donachie PH, Sallam A, Sparrow JM, Johnston RL. United Kingdom National Ophthalmology Database study of vitreoretinal surgery: report 3, retinal detachment. Ophthalmology 2014. link 44 Jonas JB, Mangler B, Decker A, Schlichtenbrede FC. Ratio of primary episcleral buckling surgery versus primary vitrectomy for rhegmatogenous retinal detachment. Eye science 2014. link 45 Wong CW, Wong WL, Yeo IY, Loh BK, Wong EY, Wong DW et al.. Trends and factors related to outcomes for primary rhegmatogenous retinal detachment surgery in a large asian tertiary eye center. Retina (Philadelphia, Pa.) 2014. link 46 Cho GE, Kim SW, Kang SW. Changing trends in surgery for retinal detachment in Korea. Korean journal of ophthalmology : KJO 2014. link 47 Feibel RM, Blodi CF. Paul A. Cibis, MD: a pioneer of modern vitreoretinal surgery. JAMA ophthalmology 2013. link 48 Gloor BP, Marmor MF. Controversy over the etiology and therapy of retinal detachment: the struggles of Jules Gonin. Survey of ophthalmology 2013. link 49 Adelman RA, Parnes AJ, Sipperley JO, Ducournau D. Strategy for the management of complex retinal detachments: the European vitreo-retinal society retinal detachment study report 2. Ophthalmology 2013. link 50 Adelman RA, Parnes AJ, Ducournau D. Strategy for the management of uncomplicated retinal detachments: the European vitreo-retinal society retinal detachment study report 1. Ophthalmology 2013. link 51 Framme C, Wolf S. Retinal complications after damaging the vitreolenticular barrier. Ophthalmologica. Journal international d'ophtalmologie. International journal of ophthalmology. Zeitschrift fur Augenheilkunde 2012. link 52 Mazinani BA, Rajendram A, Walter P, Roessler GF. Does surgical experience have an effect on the success of retinal detachment surgery?. Retina (Philadelphia, Pa.) 2012. link 53 Hwang JC. Regional practice patterns for retinal detachment repair in the United States. American journal of ophthalmology 2012. link 54 Shinar Z, Chan L, Orlinsky M. Use of ocular ultrasound for the evaluation of retinal detachment. The Journal of emergency medicine 2011. link 55 Ehrlich R, Ahmad N, Welch S, Hadden P, Polkinghorne P. Vitreoretinal fellow surgical outcome of small gauge pars plana vitrectomy for acute rhegmatogenous retinal detachment. Graefe's archive for clinical and experimental ophthalmology = Albrecht von Graefes Archiv fur klinische und experimentelle Ophthalmologie 2011. link 56 Aylward B. Revalidation and retinal detachment. Ophthalmologica. Journal international d'ophtalmologie. International journal of ophthalmology. Zeitschrift fur Augenheilkunde 2011. link 57 Colson JD. Cervicofacial subcutaneous emphysema and pneumomediastinum after retinal detachment surgery: just another monitored anesthesia eye case. Journal of clinical anesthesia 2011. link 58 Meyer CH, Michels S, Rodrigues EB, Hager A, Mennel S, Schmidt JC et al.. Incidence of rhegmatogenous retinal detachments after intravitreal antivascular endothelial factor injections. Acta ophthalmologica 2011. link 59 Sagong M, Chang W. Learning curve of the scleral buckling operation: lessons from the first 97 cases. Ophthalmologica. Journal international d'ophtalmologie. International journal of ophthalmology. 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Statistics in medicine 2006. link 65 Diederen RM, La Heij EC, Deutz NE, Kessels AG, van Eijk HM, Hendrikse F. Increased nitric oxide (NO) pathway metabolites in the vitreous fluid of patients with rhegmatogenous retinal detachment or diabetic traction retinal detachment. Graefe's archive for clinical and experimental ophthalmology = Albrecht von Graefes Archiv fur klinische und experimentelle Ophthalmologie 2006. link 66 Klär-Dissars U, Hoerauf H. Partially fluorinated alkanes as wash out solutions after removal of silicone oil used as an ocular endotamponade. Graefe's archive for clinical and experimental ophthalmology = Albrecht von Graefes Archiv fur klinische und experimentelle Ophthalmologie 2004. link 67 Wolfensberger TJ. Jules Gonin. Pioneer of retinal detachment surgery. Indian journal of ophthalmology 2003. link 68 Kraushar MF. Medical malpractice experiences of vitreoretinal specialists: risk prevention strategies. 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    Original source

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