Primary Retinal Detachment

A 57-year-old man noted flashing lights in his right eye, followed 2 days later by a cluster of dark floaters that mildly interfered with his vision. Over the course of the next week, he noted a progressive loss of the nasal visual field in that eye, with an eventual striking loss of central acuity that prompted him to seek ophthalmologic evaluation. Examination of the fundus with the pupil dilated showed a retinal detachment involving the temporal retina, including the macula. How should his case be managed?