Can a fundoscopic examination detect retinal detachment?

Nov 19, 2025 Source: Cainiu Health

Dr. Wang Lei

Introduction

If conventional methods such as dilated fundus examination and ophthalmoscopy are used, retinal detachment involving a clearly defined area can be clearly observed in terms of the location, extent, and whether it is accompanied by complications such as retinal breaks or hemorrhage. This allows for rapid and definitive diagnosis, providing a basis for formulating subsequent treatment plans. Such cases are relatively common in clinical examinations.

　　In most cases, routine fundus examinations can detect retinal detachment. However, if the detachment is very small or located in a hidden area, more detailed tests may be required for accurate diagnosis. If there are concerns, it is recommended to seek medical advice promptly. Detailed analysis is as follows:

　　When conventional methods such as dilated fundus examination or ophthalmoscopy are used, retinal detachments with clearly visible areas can be easily identified. These methods allow clear observation of the detached region, severity, and whether complications such as retinal tears or hemorrhage are present. This enables rapid and definitive diagnosis, providing essential information for determining subsequent treatment plans—such scenarios are commonly encountered in clinical practice.

　　If retinal detachment is in its early stage, involves only a very small area, or occurs in the peripheral regions of the fundus, routine fundus examinations may fail to clearly capture the abnormal signs, increasing the risk of missed diagnosis. In such cases, more advanced imaging techniques—such as optical coherence tomography (OCT) or fundus angiography—are necessary to accurately identify subtle structural changes in the retina and confirm the presence of early-stage detachment.

　　Prompt fundus examination is essential if symptoms such as floating shadows, flashes of light, or visual field defects occur. Prior to examination, proper pupil dilation should be performed as instructed to ensure adequate visualization. Once diagnosed, timely treatment is crucial to prevent progression of the detachment and preserve vision.

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Is retinal detachment considered a minor injury?

In general, whether retinal detachment constitutes a minor injury depends on the extent, scope, and impact on vision caused by the detachment. Avoid strenuous exercise and heavy physical labor to prevent external trauma to the eye. Control the duration of reading and screen time to prevent eye strain. Maintain emotional stability to avoid blood pressure fluctuations that could affect eye recovery.

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Can retinal detachment be treated?

In general, whether retinal detachment can be cured depends on a comprehensive assessment of the type of detachment, severity of the condition, and timing of treatment. It is worth noting that treatment outcomes are also influenced by individual differences and postoperative care. Therefore, once symptoms of retinal detachment occur, such as flashes of light or visual field loss,

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Can the retina still detach after retinal surgery?

In general, whether retinal detachment may recur after retinal surgery depends on the surgical outcome and postoperative care. To prevent re-detachment of the retina, patients should strictly follow their doctor's postoperative instructions and undergo regular eye examinations to promptly identify and address any potential issues.

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Can retinal detachment caused by trauma be cured?

Whether retinal detachment caused by trauma can be cured depends on the timeliness of treatment. With proper treatment shortly after injury, most cases can have the condition controlled; however, if treatment is delayed, the difficulty of achieving a cure increases significantly. Daily attention should be paid to eye protection to avoid further external impact to the eyes. After surgery, strenuous exercise and heavy physical labor should be avoided in the short term, head movements should remain stable, and pressure on the eyes should be minimized.