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    Retina Detachment, A Simple Guide To The Condition, Diagnosis, Treatment And Related Condition
    Retina Detachment, A Simple Guide To The Condition, Diagnosis, Treatment And Related Condition
    Retina Detachment, A Simple Guide To The Condition, Diagnosis, Treatment And Related Condition
    Ebook74 pages40 minutes

    Retina Detachment, A Simple Guide To The Condition, Diagnosis, Treatment And Related Condition

    By Kenneth Kee

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    About this ebook

    The detection of a patient with Retinal detachment is unexpected in a family doctor setting.
    After 30 years of family doctor practice, I had not seen a single case of retinal detachment or had examined a case in the hospital.
    Now my own patient (a highly ranked civil servant in the Government service) had complaints of discomfort in his left eye.
    He had all the classical symptoms of retinal detachment with high myopia, the appearance of floaters and the sudden falling of a cloud across his left visual field.
    These signs were typical of retinal detachment.
    I urged his family to immediately send him to the Singapore National Eye Center for immediate treatment by an eye specialist otherwise he may lose his sight.
    He was rather calm in spite of my urging.
    He told his family to go home, get all his identification cards and then proceed to the hospital for treatment.
    It was typical of the senior civil servant that everything must be ready before he proceeded to the hospital.
    I heard from his family that he was hospitalized immediately on arrival at the hospital.
    He was prepared for surgical treatment.
    Later he was to tell me that the procedure involve putting a gas bubble into his eye and that he had to be kept at a certain position to help the gas bubble push the detachment back to the retina.
    It was painful but he had local anesthesia done before the procedure.
    When the anesthesia wears off there was excruciating pain from the pressure in his eye but with analgesic he was able to bear with pain.
    The final result was not 100% but at least he did not lose his sight.

    Retinal detachment is a condition in which there is a separation of the neurosensory retina from the underlying retinal pigment epithelium.
    It is a medical emergency as it may lead to loss of vision.
    The following are at risk from Retinal detachment:
    1. Age above 55 yrs
    2. Very short sighted (myopia usually above 5-6 diopters).
    3. History of serious eye injury (injury to orbits)
    4. History of eye cataract surgery

    Symptoms are:
    1. Transient flashes of light
    2. A sudden increase of floaters in one eye
    3. A ring of floaters at the temporal region of the central vision
    4. A feeling of heaviness in the eye
    5. Presence of cloud in front of the eye so that parts of an object are not seen
    Indirect opthalmoscopy may show the grey folds of the detachment.
    Treatment is aimed at finding the holes or tears and closing them.
    1. Vitrectomy involves the removal of the vitreous gel followed by filling the eye with a gas bubble (SF6 or C3F8 gas).
    2. Cryotherapy and Laser Photocoagulation are used to create a adhesion around the retinal hole so that fluid cannot enter the hole
    3. Adatomed Silicone Oil is injected into the eye and mechanically holds the retina in place
    4. Pneumatic retinopexy is done under local anesthesia by injecting a gas bubble (SF6 or C3F8 gas) into the eye after which laser or freezing treatment is applied to the retinal hole
    When the Retinal detachment is diagnosed and treated early, the outlook of treatment of is good although visual acuity may not be as good as before.

    LanguageEnglish
    PublisherKenneth Kee
    Release dateSep 30, 2016
    ISBN9781370000524
    Retina Detachment, A Simple Guide To The Condition, Diagnosis, Treatment And Related Condition
    Author

    Kenneth Kee

    Medical doctor since 1972.Started Kee Clinic in 1974 at 15 Holland Dr #03-102, relocated to 36 Holland Dr #01-10 in 2009.Did my M.Sc (Health Management ) in 1991 and Ph.D (Healthcare Administration) in 1993.Dr Kenneth Kee is still working as a family doctor at the age of 74However he has reduced his consultation hours to 3 hours in the morning and 2 hours inthe afternoon.He first started writing free blogs on medical disorders seen in the clinic in 2007 on http://kennethkee.blogspot.com.His purpose in writing these simple guides was for the health education of his patients which is also his dissertation for his Ph.D (Healthcare Administration). He then wrote an autobiography account of his journey as a medical student to family doctor on his other blog http://afamilydoctorstale.blogspot.comThis autobiography account “A Family Doctor’s Tale” was combined with his early “A Simple Guide to Medical Disorders” into a new Wordpress Blog “A Family Doctor’s Tale” on http://ken-med.com.From which many free articles from the blog was taken and put together into 1000 eBooks.He apologized for typos and spelling mistakes in his earlier books.He will endeavor to improve the writing in futures.Some people have complained that the simple guides are too simple.For their information they are made simple in order to educate the patients.The later books go into more details of medical disorders.He has published 1000 eBooks on various subjects on health, 1 autobiography of his medical journey, another on the autobiography of a Cancer survivor, 2 children stories and one how to study for his nephew and grand-daughter.The purpose of these simple guides is to educate patient on health disorders and not meant as textbooks.He does not do any night duty since 2000 ever since Dr Tan had his second stroke.His clinic is now relocated to the Buona Vista Community Centre.The 2 units of his original clinic are being demolished to make way for a new Shopping Mall.He is now doing some blogging and internet surfing (bulletin boards since the 1980's) startingwith the Apple computer and going to PC.The entire PC is upgraded by himself from XT to the present Pentium duo core.The present Intel i7 CPU is out of reach at the moment because the CPU is still expensive.He is also into DIY changing his own toilet cistern and other electric appliance.His hunger for knowledge has not abated and he is a lifelong learner.The children have all grown up and there are 2 grandchildren who are even more technically advanced than the grandfather where mobile phones are concerned.This book is taken from some of the many articles in his blog (now with 740 posts) A Family Doctor’s Tale.Dr Kee is the author of:"A Family Doctor's Tale""Life Lessons Learned From The Study And Practice Of Medicine""Case Notes From A Family Doctor"

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      Book preview

      Retina Detachment, A Simple Guide To The Condition, Diagnosis, Treatment And Related Condition - Kenneth Kee

      Retina Detachment,

      A

      Simple

      Guide

      To

      The Condition,

      Diagnosis,

      Treatment

      And

      Related Conditions

      By

      Dr Kenneth Kee

      M.B.,B.S. (Singapore)

      Ph.D (Healthcare Administration)

      Copyright Kenneth Kee 2015 Smashwords Edition

      Published by Kenneth Kee at Smashwords.com

      Dedication

      This book is dedicated

      To my wife Dorothy

      And my children

      Carolyn, Grace

      And Kelvin

      This book describes the Retina Detachment, Diagnosis, Treatment and Associated Diseases or in vernacular terms

      (What You Need to Treat and Cope with Retina Detachment)

      This eBook is licensed for the personal enjoyment only. This eBook may not be re-sold or given away to other people. If you would like to share this book with another person, please purchase an additional copy for each reader.

      If you’re reading this book and did not purchase it, or it was not purchased for your use only, then please return to Smashwords.com and purchase your own copy.

      Thank you for respecting the hard work of this author.

      Introduction

      I have been writing medical articles for my blog http://kennethkee.blogspot.com (A Simple Guide to Medical Condition) for the benefit of my patients since 2007.

      My purpose in writing these simple guides was for the health education of my patients.

      Health Education was also my dissertation for my Ph.D (Healthcare Administration).

      I then wrote an autobiolographical account of his journey as a medical student to family doctor on his other blog http://afamilydoctorstale.blogspot.com.

      This autobiolographical account A Family Doctor’s Tale was combined with my early A Simple Guide to Medical Conditions into a new Wordpress Blog A Family Doctor’s Tale on http://ken-med.com.

      From which many free articles from the blog was taken and put together into 590 amazon kindle books and some into Smashwords.com eBooks.

      Some people have complained that the simple guides are too simple.

      For their information they are made simple in order to educate the patients.

      The later books go into more details of medical conditions.

      The first chapter is always from my earlier blogs which unfortunately tends to have typos and spelling mistakes.

      Since 2013, I have tried to improve my spelling and writing.

      As I tried to bring you the latest information about a condition or illness by reading the latest journals both online and offline, I find that I am learning more and improving on my own medical knowledge in diagnosis and treatment for my patients.

      Just by writing all these simple guides I find that I have learned a lot from your reviews (good or bad), criticism and advice.

      I am sorry for the repetitions in these simple guides as the second chapters onwards have new information as compared to my first chapter taken from my blog.

      I also find repetition definitely help me and maybe some readers to remember the facts in the books more easily. I apologize if these repetitions are irritating to some readers.

      Chapter 1

      Retinal Detachment

      The detection of a patient with Retinal detachment is unexpected in a family doctor setting.

      After 30 years of family doctor practice, I had not seen a single case of retinal detachment or had examined a case in the hospital.

      Now my own patient (a highly ranked civil servant in the Government service) had complaints of discomfort in his left eye.

      He had all the classical symptoms of retinal detachment with high myopia, the appearance of floaters

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