Retinal Detachment (Ablatio Retinae): Symptoms, Complaints, Signs

The following symptoms and complaints may indicate ablatio retinae (retinal detachment):

Predromal symptoms (forewarning symptoms).

  • Photopsia (flashes of light; flashes):
    • Often arcuate brief flashes, usually perceived laterally or at the top of the visual field
    • Usually only visible in the dark or twilight
    • Amplified during violent movement of the head (head turning), extreme eye movements or vibration
  • Camptopsia – wavy vision

Symptoms of retinal detachment

  • Scotoma – circumscribed visual field loss.
  • Metamorphopsia (distorted vision)
  • Mouches volantes (“mosquito vision”)
  • Shadows in the field of view
  • Sooty rain – sudden appearance of dense black or red spots in the field of view.
  • Visual acuity reduction (deterioration of visual acuity).

However, retinal detachment can be asymptomatic for a long time; only when the macula is reached the problem becomes visible.

Notice. The sharpest vision (finest spatial resolution) occurs in the fovea centralis, a component of the macula lutea (macula; yellow spot) that contains only cones (responsible for color perception).

Warning signs (red flags)

  • Photopsy + fair-skinned people and patients with dysplastic nevus syndrome; people aged 60-70 years → think of: Choroidal melanoma (uveal melanoma).