www.goodhope.nhs.uk/departments/eyedept/ ==== Home / Admin Other conditions Contact dept / Personnel Web site feedback Secretaries Appointments Eye drop enquiries Links for students Online eye text book About this site Contents Contents Children/Othoptic clinic Contact lenses Rehabilitation & coping with poor sight Low vision clinic Magnifiers Glaucoma Professionals Letters for professionals Professionals: rubeotic Professionals: ang closure Professionals: POAG Trab audit 2008 What is glaucoma? Drops for glaucoma Intraocular hypertension Low tension glaucoma Pre-perimetric glaucoma Rubeotic glaucoma Acute angle closure Chronic angle closure Animations Glaucoma animation Progression simulation Rubeotic glaucoma Rubeotic glaucoma animation Angle closure, Narrow angle, Laser iridotomies Laser iridotomy animation SLT laser animation Visual fields Trabeculectomy Trabeculectomy animation Students: Cases Case 1 Case 2 Case 3 Case 4 Case 5 Case 6 case 7 case 8 case 9 case 10 case 11 Macula Cases 1 for students 2 hard drusen Central Serous Retinopathy 4 CCNV (wet ARMD) 5 Occult CCNV 6 Soft drusen Pre-macula haem Bests 10 PDT 11 rip 12 CNV 13 CSR & PED 14 Dry/Occult 15 polypoidal 16 myopic early CNV 17 macula hole 18 more fluid with oct 19 fluid reaccumulates 20 peds & nsd 21 AOFVD 22 AOFVD/ERM 23 speckles 24 VMT 25 ERM 26 Juvenile retinoschisis 27 early classic ARMD pathology & treatment Understanding macular degeneration Are you at risk? Coping: poor sight in one eye Coping with poor sight: hints animations etc Diagram: link Large diagram 1 Large diagram 2 Animation more detail lucentis dry ARMD hard drusen soft drusen geographic AOFMD ERM VMT macula hole wet Lucentis/Avastin treatment Occult type 1, PED Occult type 2 Classic myopic Rip Polypoidal RAP extensive subfoveal haemorrhage Peripapillary CNV VMC professionals CSR none-ARMD macula ERM VMT macular hole Juvenile macular dystrophies PFT parafoveal telangiecasia Proliferative vitreoretinopathies Magnifiers Rehabilitation & local services Low Vision Clinic RNIB link Procedures Your first visit Fluorescein angiogram & photography Laser Refraction (test for spectacles) Orthoptic/squint examination Minor lid surgery, cyst etc Diabetes Lifestyle Alcohol Smoking How to prevent retinopathy Type 2 diabetes (diet/tablets) Insulin users Types of retinopathy Blood pressure Cholesterol, prevention etc Other retinopathy issues Driving Other problems Allergic conjunctivitis Blepharitis Cataracts Cataract surgery animation Cataract surgery at Good Hope Chalazion, styes, eyelid Dry & sore eyes Herpes simplex keratitis (cornea) Naevi Links/other problems Central serous retinopathy Migraine Posterior vitreous detachment Stroke / TIA corneal ulcers Recurrent corneal abrasions Retinal vein blockage/occlusion Squints & Lazy eyes Thyroid eye disease Watery eyes, adult Watery eyes in children

Rip / tear

Sometimes the retina in the macula area can tear and shrink. This is call a 'rip' or a 'tear' of the pigment epithelium. It may occur spontaneously as part of wet ARMD, but can occur after PDT or anti-VEGF treatment. A rip causes significant loss of central vision. See a case, with reports  a pigment epithelial rip   (thanks to Ajith Kumar/BMEC). Even the new drugs can cause the retina to 'rip', but the risks are only slightly increased. The chances of rip depend on how elevated the PED is (the retinal pigment epithelial detachment). For instance, an 840μ elevation has a 50% chance of ripping. A 500μ elevation has a 10% chance of ripping. Gelsiken 2009

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