PVD and retinal detachment - an optometric approach: part 1

Dr Graham Macalister explains the prevalence and nature of the various forms of retinal detachment

This is the first in a series of three articles. It aims to develop an understanding of the processes involved in the different kinds of retinal detachment. The next two articles put forward a practical and structured approach to patients who present with symptoms of flashes and floaters including;

1 The questions that will elucidate risk factors and rule out innocuous conditions (what to ask).

2 Observations (what to look for and how to look for it).

3 Assessment of this information to develop a diagnosis and management plan.

There is also a discussion of national guidelines for referral and the changing role of optometrists in locally commissioned schemes with their own protocols.

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