Spontaneous retinal detachment typically presents with which feature?

• A. Conjunctival injection
• B. No pain or redness
• C. Tearing with discharge
• D. Severe ocular pain

Answer: (B)

Spontaneous retinal detachment is usually painless because it’s a mechanical separation of the retina rather than an inflammatory process. There’s typically little to no redness of the eye, which is why absence of pain or redness is the characteristic presentation. In contrast, conjunctival injection, tearing with discharge, or severe ocular pain point to inflammatory, infectious, or other acute conditions (like conjunctivitis or acute angle-closure glaucoma) rather than a detach­ment. Patients may notice sudden floaters or flashes and a curtain-like shadow over part of the vision, but among these options the feature that best fits retinal detachment is no pain or redness.