Retinal Detachment & Retinitis Pigmentosa

Key points

• Retinal detachment: painless visual loss preceded by flashes and floaters; 'curtain/shadow' across vision; fundus — grey elevated retina.
• Rhegmatogenous (retinal tear) most common; risk factors — myopia, trauma, surgery.
• Surgical emergency if the macula is still attached ('macula-on').
• Retinitis pigmentosa: night blindness first, then tunnel vision; 'bone spicule' pigmentation; associations include Usher syndrome (deafness).

Decision points in this pathway

• Macula-on or macula-off?

The full step-by-step algorithm, including what to do at each branch, opens in the app for approved members.