Vitrectomy surgery is also performed in the operating room. In some cases, a scleral buckle may be combined with vitrectomy surgery. A gas bubble is sometimes used to facilitate reattachment of the retina. It is coupled with either cryotherapy or laser photocoagulation. It consists of suturing a soft piece of silicone to the eye wall (sclera) in such a way as to gently indent the sclera in order to support and close the retinal tear. Scleral buckle surgery is performed in the operating room. After the procedure, patients must maintain a specific head position for about a week to ensure that the retinal tear is adequately sealed The gas injection is coupled with either a freezing treatment (cryotherapy) or laser photocoagulation to permanently seal the causative retinal tear. It involves the injection of a temporary gas bubble to close the retinal tear and surrounding detachment. Pneumatic Retinopexy is an office-based procedure. The choice of treatment depends on certain features of the detachment such as number and location of retinal tears as well as patient characteristics such as age and past cataract surgery. There are three approaches to repairing a retinal detachment: However, if a retinal detachment has already developed, a retinal reattachment procedure is typically necessary. If a retinal hole or tear is detected before there is retinal detachment, laser or cryotherapy (freezing treatment) to the retinal tear is often successful in sealing the retinal defect, preventing a retinal detachment. Treatment and How to Prevent Retinal Detachment Longstanding retinal detachments or those with associated scar tissue (proliferative vitreoretinopathy) typically have a poor visual prognosis. A change of eyeglasses after retinal detachment surgery may or may not improve vision. Final visual outcomes are best if the detachment is detected and treated before it involves the center of the retina (macula). Retinal detachments often cause some degree of permanent visual field or central visual acuity loss, even after successful reattachment. There may also be some degree of vitreous hemorrhage, which occurs when a retinal tear involves a retinal blood vessel. Through a dilated pupil, the ophthalmologist will see one or more tears in the retina with varying amounts of underlying fluid. It does not store any personal data.A comprehensive ophthalmic examination is essential to diagnose and treat a retinal detachment. The cookie is set by the GDPR Cookie Consent plugin and is used to store whether or not user has consented to the use of cookies. The cookie is used to store the user consent for the cookies in the category "Performance". This cookie is set by GDPR Cookie Consent plugin. The cookie is used to store the user consent for the cookies in the category "Other. The cookies is used to store the user consent for the cookies in the category "Necessary". ![]() The cookie is set by GDPR cookie consent to record the user consent for the cookies in the category "Functional". The cookie is used to store the user consent for the cookies in the category "Analytics". These cookies ensure basic functionalities and security features of the website, anonymously. ![]() Necessary cookies are absolutely essential for the website to function properly. It is therefore essential to seek medical help as quickly as possible if you suspect you have a torn or detached retina. Furthermore, the longer the retina remains detached, the worse the final visual result after surgery is likely to be. However, if the centre of the retina has been detached vision may never return fully. Once your retina is successfully reattached your vision is likely to improve. ![]() This involves using a small piece of silicone to push the retina flat from outside, without the need for an internal operation. Occasionally your surgeon will use a ‘scleral buckle’ either instead of, or as well as, a vitrectomy. During this procedure a laser is used to seal the hole in the retina and a bubble of air is inserted to prevent liquid getting behind the retina while it reattaches. In most cases your surgeon will recommend a vitrectomy where the retina is ‘flattened’ surgically. TreatmentĮvery detached retina is different and our specialists at Exeter Eye will be able to recommend the best treatment for you. Retinal detachment surgery is required in almost all cases and should be carried out as a matter of urgency. It is caused by the retina (the focusing surface at the back of your eye) coming away from the back wall of the eye.
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