- Retinal disease is a category encompassing various conditions that affect the retina, the light-sensitive tissue at the back of the eye, and can cause vision loss due to abnormalities in visual signal processing.
- Causes vary by disease, and related factors may include aging, diabetes, hypertension, smoking, obesity, eye trauma, and family history.
- Visual function declines when the process of photoreceptors and nerve cells in the retina converting light into electrical signals and transmitting them to the brain is damaged.
- Representative examples include age-related macular degeneration, diabetic retinopathy, retinal detachment/retinal tear, retinitis pigmentosa, macular hole, epiretinal membrane (macular pucker), and retinoblastoma.
- Risk and prognosis may vary depending on age, genetic background, control of diabetes and blood pressure, smoking, presence of trauma, and concomitant ocular diseases.
- Symptoms such as blurry or distorted vision, loss of central or peripheral vision, decreased night vision, flashes, and floaters may occur; some diseases progress slowly, while others progress suddenly.
- Diagnosis is centered on dilated fundus examination, and OCT, fluorescein angiography, visual field testing, etc., are combined as needed.
- Even with the same symptoms at the same time, causes may differ, and conditions with high urgency such as retinal detachment may be included; therefore, test results must be interpreted together with the timing of symptom onset and clinical context.
- Management is centered on ophthalmic evaluation and treatment tailored to the cause and severity, control of underlying diseases, eye protection, and regular vision and retina follow-up.
- Treatment varies by disease; laser treatment, medication or ocular injection, surgery, and management of diabetes and hypertension may be used, but they are not applied identically to all retinal diseases.