Odwarstwienie siatkówki
Leczenie
Odwarstwienie siatkówki stanowi stan nagły wymagający pilnej interwencji chirurgicznej, aby zapobiec trwałej utracie widzenia. Leczenie przedodwarstwieniowe obejmuje fotokoagulację laserową oraz krioterapię, które skutecznie uszczelniają przedarcia siatkówki, zapobiegając dalszemu rozwojowi choroby z niemal 100% skutecznością przy szybkim wdrożeniu. W przypadku pełnego odwarstwienia siatkówki stosuje się metody chirurgiczne takie jak pneumatyczna retinopeksja (wstrzyknięcie pęcherzyka gazu do ciała szklistego), obwodowe wpuklenie twardówki (scleral buckle) oraz witrektomię, często w kombinacji z laseroterapią lub krioterapią. Skuteczność pojedynczej operacji wynosi około 90%, a ostateczne rokowanie zależy od czasu od wystąpienia odwarstwienia do leczenia, stanu plamki żółtej (macula-on vs macula-off) oraz rozległości odwarstwienia.
Leczenie odwarstwienia siatkówki
Odwarstwienie siatkówki to stan nagły, wymagający natychmiastowej interwencji medycznej. Bez szybkiego leczenia może doprowadzić do trwałej utraty wzroku. Odpowiednio dobrana terapia pozwala na przywrócenie widzenia u większości pacjentów, przy czym najlepsze wyniki uzyskuje się, gdy leczenie zostanie wdrożone przed odwarstwieniem plamki żółtej 123.
Wybór odpowiedniej metody leczenia zależy od rodzaju i rozległości odwarstwienia siatkówki, lokalizacji i liczby przedarć, a także od indywidualnych cech pacjenta, takich jak wiek czy przebyte operacje zaćmy. Leczenie może obejmować zarówno procedury przeprowadzane w gabinecie, jak i bardziej zaawansowane zabiegi chirurgiczne wykonywane na sali operacyjnej 12.
Leczenie przedarć siatkówki
Gdy stwierdza się przedarcie lub otwór w siatkówce bez jej odwarstwienia, często można zapobiec dalszemu rozwojowi choroby poprzez natychmiastowe leczenie. Do metod leczenia przedarć siatkówki należą:
Fotokoagulacja laserowa
Leczenie laserowe (fotokoagulacja) to zabieg ambulatoryjny polegający na kierowaniu wiązki lasera przez źrenicę do oka. Laser wytwarza oparzenia wokół przedarcia siatkówki, co prowadzi do powstania blizny, która „przyspawa” siatkówkę do leżącej pod nią tkanki. W wyniku tego procesu przedarcie zostaje uszczelnione, co zapobiega przenikaniu płynu pod siatkówkę i jej późniejszemu odwarstwieniu 12.
Krioterapia
Krioterapia (kriopexy) to zabieg polegający na zamrażaniu tkanki. Po podaniu leków znieczulających, chirurg przykłada sondę zamrażającą do zewnętrznej powierzchni oka bezpośrednio nad miejscem przedarcia. Zamrożenie powoduje powstanie blizny, która pomaga przymocować siatkówkę do ściany oka. Ta metoda jest często stosowana, gdy przedarcia są trudne do uwidocznienia lub dostępu laserem, lub gdy płyn już zaczął przesączać się pod siatkówkę 123.
Zarówno fotokoagulacja laserowa, jak i krioterapia są wysoce skuteczne w zapobieganiu odwarstwieniu siatkówki, a ich skuteczność w przypadku odpowiednio szybkiego zastosowania sięga niemal 100% 1.
Metody chirurgiczne leczenia odwarstwienia siatkówki
Gdy doszło już do odwarstwienia siatkówki, konieczna jest interwencja chirurgiczna. Do głównych metod leczenia odwarstwienia siatkówki należą:
Pneumatyczna retinopeksja
Pneumatyczna retinopeksja to procedura, podczas której chirurg wstrzykuje pęcherzyk gazu lub powietrza do wnętrza oka (do przestrzeni ciała szklistego). Pęcherzyk unosi się i dociska obszar siatkówki zawierający przedarcie do ściany oka, co zatrzymuje przepływ płynu do przestrzeni za siatkówką. W trakcie zabiegu stosuje się również krioterapię lub fotokoagulację laserową, aby utworzyć bliznę wokół przedarcia 12.
Po zabiegu pacjent musi utrzymywać głowę w określonej pozycji przez kilka dni do tygodni, aby pęcherzyk pozostawał we właściwym miejscu i skutecznie dociskał siatkówkę. Z czasem pęcherzyk gazu zostaje wchłonięty i zastąpiony przez płyn wytwarzany przez organizm 12.
Pneumatyczna retinopeksja jest odpowiednia dla mniejszych odwarstwień, zwłaszcza obejmujących górną część siatkówki z pojedynczym przedarciem, które jest łatwe do zamknięcia 12.
Obwodowe wpuklenie twardówki
Obwodowe wpuklenie twardówki (scleral buckle) to zabieg wykonywany na sali operacyjnej, polegający na przyszyciu paska silikonu do białej części oka (twardówki) nad obszarem odwarstwienia. Pasek ten delikatnie wpukla ścianę oka do wewnątrz, co zmniejsza napięcie ciała szklistego ciągnącego siatkówkę i dociska odwarstwioną siatkówkę do ściany oka. Podczas zabiegu przedarcie jest zamykane za pomocą leczenia laserowego lub krioterapii 12.
Pasek silikonowy jest zazwyczaj pozostawiany na stałe i nie jest widoczny po operacji. Zaletą tej metody jest to, że często nie wymaga specjalnego pozycjonowania głowy pacjenta po zabiegu 12.
Witrektomia
Witrektomia to zabieg chirurgiczny polegający na usunięciu ciała szklistego z oka wraz z wszelkimi tkankami, które ciągną siatkówkę. Po usunięciu ciała szklistego, do przestrzeni szklistej wstrzykuje się powietrze, gaz lub olej silikonowy, co pomaga spłaszczyć siatkówkę 12.
Jeśli użyto pęcherzyka gazu, pacjent musi utrzymywać określoną pozycję głowy przez pewien czas i unikać lotów samolotem oraz podróży na duże wysokości, gdyż zmiany ciśnienia mogą powodować rozszerzanie się pęcherzyka gazu i wzrost ciśnienia wewnątrzgałkowego. Jeśli zastosowano olej silikonowy, jest on zazwyczaj usuwany kilka miesięcy później podczas kolejnego zabiegu 12.
Witrektomia jest szczególnie przydatna w przypadku złożonych odwarstwień siatkówki, w tym z istotnymi bliznami lub dużymi przedarciami 1.
Kombinacje metod leczenia
W zależności od specyfiki przypadku, chirurg może zdecydować o zastosowaniu kombinacji wyżej wymienionych metod. Na przykład, witrektomia może być łączona z obwodowym wpukleniem twardówki, a pneumatyczna retinopeksja z laseroterapią lub krioterapią 12.
Skuteczność leczenia i czynniki wpływające na rokowanie
Skuteczność leczenia odwarstwienia siatkówki jest wysoka, przy czym około 90% przypadków udaje się naprawić za pomocą pojedynczej operacji. W niektórych sytuacjach konieczne jest przeprowadzenie drugiego zabiegu, na przykład gdy dochodzi do ponownego odwarstwienia na skutek tworzenia się tkanki bliznowatej 123.
Czynniki, które wpływają na ostateczny wynik leczenia, to między innymi:
- Czas od wystąpienia odwarstwienia do podjęcia leczenia – im wcześniej przeprowadzona operacja, tym lepsze rokowanie 12
- Stan plamki żółtej – jeśli plamka nie uległa odwarstwieniu przed operacją, rokowanie dotyczące ostrości wzroku jest znacznie lepsze 12
- Rozległość odwarstwienia – mniejsze odwarstwienia mają lepsze rokowanie 1
- Ostrość wzroku przed odwarstwieniem – pacjenci z lepszą wyjściową ostrością wzroku mają większą szansę na jej odzyskanie 1
Okres pooperacyjny i rekonwalescencja
Po operacji odwarstwienia siatkówki pacjent może odczuwać dyskomfort. Lekarz zwykle przepisuje leki przeciwbólowe oraz krople do oczu, które należy stosować przez kilka tygodni 12.
Okres rekonwalescencji po operacji odwarstwienia siatkówki trwa zwykle od 2 do 4 tygodni, w zależności od rodzaju przeprowadzonego zabiegu. W tym czasie pacjent powinien unikać wysiłku fizycznego i innych aktywności, które mogłyby zwiększyć ciśnienie wewnątrzgałkowe 1.
Poprawa wzroku następuje stopniowo i może trwać od kilku tygodni do kilku miesięcy. U niektórych pacjentów siatkówka może potrzebować roku lub więcej na całkowite wygojenie 12.
Ważne jest, aby pacjent przestrzegał wszystkich zaleceń pooperacyjnych, w tym:
- Utrzymywał zaleconą pozycję głowy, jeśli podczas operacji zastosowano pęcherzyk gazu 1
- Stosował przepisane krople do oczu zgodnie z zaleceniami 1
- Unikał lotów samolotem i podróży na duże wysokości, jeśli w oku znajduje się pęcherzyk gazu 12
- Zgłaszał się na wszystkie zaplanowane wizyty kontrolne 1
Komplikacje i ryzyko związane z leczeniem
Jak każda procedura chirurgiczna, leczenie odwarstwienia siatkówki wiąże się z pewnym ryzykiem. Potencjalne powikłania obejmują:
- Infekcje 1
- Krwawienia 1
- Podwyższone ciśnienie wewnątrzgałkowe (jaskra) 1
- Zaćmę 1
- Ponowne odwarstwienie siatkówki 1
- Powstawanie tkanki bliznowatej (proliferacyjna witreoretinopatia) 12
Mimo tych potencjalnych ryzyk, korzyści płynące z leczenia odwarstwienia siatkówki – przede wszystkim zapobieganie trwałej utracie wzroku – zazwyczaj znacznie przewyższają ryzyko związane z zabiegiem 12.
Znaczenie szybkiej interwencji
Odwarstwienie siatkówki wymaga natychmiastowego leczenia. Im szybciej zostanie przeprowadzona operacja, tym większe są szanse na zachowanie dobrego widzenia. Szczególnie ważne jest, aby leczenie zostało wdrożone przed odwarstwieniem plamki żółtej, co znacząco wpływa na ostateczny wynik leczenia 12.
W przypadku odwarstwień, w których plamka jest jeszcze przylegająca (tzw. macula-on), zabieg powinien być przeprowadzony jak najszybciej, najlepiej tego samego lub następnego dnia. Gdy plamka jest już odwarstwiona (macula-off), operacja powinna być wykonana w ciągu 5 dni, choć pilność interwencji jest uzależniona od indywidualnych czynników, takich jak czas trwania objawów, wysokość odwarstwienia plamki i ostrość widzenia 12.
Nieleczone odwarstwienie siatkówki prowadzi do trwałej utraty wzroku, dlatego każdy pacjent z podejrzeniem tego stanu powinien być niezwłocznie skierowany do specjalisty 12.
Podsumowanie
Leczenie odwarstwienia siatkówki wymaga szybkiej interwencji, aby zapobiec trwałej utracie wzroku. Dostępne metody leczenia obejmują fotokoagulację laserową i krioterapię w przypadku przedarć siatkówki oraz bardziej zaawansowane techniki chirurgiczne, takie jak pneumatyczna retinopeksja, obwodowe wpuklenie twardówki i witrektomia w przypadku odwarstwień siatkówki 12.
Wybór metody leczenia zależy od rodzaju i rozległości odwarstwienia, lokalizacji przedarć oraz indywidualnych cech pacjenta. Skuteczność leczenia jest wysoka, z około 90% powodzeniem przy zastosowaniu pojedynczej operacji 12.
Ostateczny wynik leczenia zależy od czasu, jaki upłynął od wystąpienia odwarstwienia do podjęcia leczenia, stanu plamki żółtej przed operacją oraz rozległości odwarstwienia. Pacjenci, u których plamka nie uległa odwarstwieniu, mają znacznie lepsze rokowanie dotyczące ostrości wzroku 12.
Po operacji konieczna jest regularna kontrola okulistyczna i przestrzeganie zaleceń pooperacyjnych, aby zapewnić optymalne gojenie i zminimalizować ryzyko powikłań 1.
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Materiały źródłowe
- #1 Retinal Detachment Surgery – Retina Doctors in New Yorkhttps://www.vrmny.com/conditions/retinal-tears-and-detachments/
As nationally recognized experts, the best-in-class retina doctors at VRMNY can quickly pinpoint the cause of retinal detachment and develop a treatment plan that preserves the eyes health. […] VRMNY provides laser procedures to repair a tear in the retina, stop a detachment, or keep a small detachment from growing larger. If the retinal detachment is severe, our doctors may advise surgery. […] Each form of retinal detachment has a different cause, and to repair the detachment the root causes need to be addressed. […] Once the source and extent of the traction is visualized, plans can be made to repair the same. In most cases of traction retinal detachment a vitrectomy is performed. This operation removes the vitreous, the jelly-like substance in the eye that typically provides the platform for the scar tissue to grow.
- #1 Procedures to Treat Retinal Tears & Retinal Detachments | NYU Langone Healthhttps://nyulangone.org/conditions/retinal-detachment/treatments/procedures-to-treat-retinal-tears-retinal-detachments
If you have a retinal tear, you are at an increased risk of developing a retinal detachment. […] The vast majority of retinal tears are treated with laser photocoagulation. Ophthalmologists occasionally perform cryotherapy if the location of the tear makes it difficult to perform laser photocoagulation. […] Laser photocoagulation and cryotherapy can also be used to treat a retinal detachment and prevent it from becoming bigger. […] Surgery is an option if a retinal detachment is big enough that it cant be treated with laser photocoagulation and cryotherapy alone. Laser photocoagulation and cryotherapy may also be used in conjunction with surgery for complete treatment. […] NYU Langone offers three surgical outpatient procedures to treat retinal detachment. […] Scleral buckle is a common surgery used to treat retinal detachment.
- #1 Retinal detachment – Diagnosis and treatment – Mayo Clinichttps://www.mayoclinic.org/diseases-conditions/retinal-detachment/diagnosis-treatment/drc-20351348
Surgery is almost always the type of treatment used to repair a retinal tear, hole or detachment. Various techniques are available. Ask your ophthalmologist about the risks and benefits of your treatment options. Together you can decide what treatment or combination of treatments is best for you. […] When the retina has a tear or hole but hasn’t yet become detached, your eye surgeon may suggest one of the following treatments. These treatments can help prevent retinal detachment and preserve vision. […] Laser surgery, also called laser photocoagulation or retinopexy. The surgeon directs a laser beam into the eye through the pupil. The laser makes burns around the retinal tear to create scarring that usually „welds” the retina to underlying tissue. […] Freezing, also called cryopexy. Before treatment starts, you’re given medicine to numb your eye. Then the surgeon applies a freezing probe to the outer surface of the eye directly over the tear. The freezing causes a scar that helps secure the retina to the eye wall.
- #1 Management of retinal detachment: a guide for non-ophthalmologistshttps://pmc.ncbi.nlm.nih.gov/articles/PMC2405853/
Successful reattachment of the retina does not always correlate with a good visual outcome, and patients presenting with poorer vision are less likely to achieve good final visual acuity. […] Most retinal breaks form when the vitreous separates from the retina as part of the normal ageing process. This event, posterior vitreous detachment, is the result of a lifetime process of degenerative liquefaction and shrinkage of the vitreous. […] Retinal breaks caused by posterior vitreous detachment are treated using laser therapy or cryotherapy to create a scar adhesion between the retina and retinal pigment epithelium. This treatment is almost 100% successful, but new breaks can develop elsewhere. […] Prophylactic treatment of asymptomatic breaks or degenerative retinal lesions has not been shown to reduce the risk of retinal detachment. […] Results are best when the detachment is repaired before the macula becomes involved, and this can be achieved only through early diagnosis and urgent referral.
- #1 Retinal detachment – Diagnosis and treatment – Mayo Clinichttps://www.mayoclinic.org/diseases-conditions/retinal-detachment/diagnosis-treatment/drc-20351348
After sealing a retinal tear with cryopexy or laser photocoagulation, a gas bubble is injected into the vitreous. The bubble applies gentle pressure, helping a detached section of the retina to reattach to the eyeball. […] If your retina has detached, you’ll need surgery to repair it. It’s ideal to get surgery within days of finding out that your retina has detached. The type of surgery that your surgeon recommends depends on factors such as the location of the retinal detachment and how severe it is. […] Injecting air or gas into the eye. This surgery is called pneumatic retinopexy (RET-ih-no-pek-see). A surgeon injects a bubble of air or gas into the center part of the eye, also called the vitreous cavity. When positioned properly, the bubble pushes the area of the retina that contains the hole or holes against the wall of the eye. This stops the flow of fluid into the space behind the retina. The surgeon also uses cryopexy or laser photocoagulation during the treatment to create scarring around the retinal break.
- #1 Retinal Tear & Detachment Treatment – SightMDhttps://www.sightmd.com/services/retina-care/retinal-tear-detachment-treatment/
Your eye care provider will discuss treatment options with you. You may need a combination of treatments for the best results. Treatments include: […] Sometimes, your provider will diagnose a retinal tear before the retina starts pulling away. Your provider uses a medical laser or a freezing tool to seal the tear. These devices create a scar that holds the retina in place. […] Your provider may recommend this approach if the detachment isn’t as extensive. After surgery, your provider will recommend that you keep your head still for a few days to promote healing. You also may be told not to lie on your back. […] During this procedure: Your provider surgically places a silicone band (buckle) around the eye. The band holds the retina in place and stays there permanently. You can’t see the band. The detached retina starts healing. Laser or cryopexy are used to seal the tear.
- #1 Retinal detachment – Wikipediahttps://en.wikipedia.org/wiki/Retinal_detachment
Retinal detachment is a medical emergency that requires surgery. […] Treatment involves surgery to reattach the retina, such as pneumatic retinopexy, vitrectomy, or scleral buckling. […] Rhegmatogenous retinal detachment typically requires prompt surgical intervention to preserve vision. […] The 3 main options include pneumatic retinopexy, vitrectomy, and scleral buckle. […] Pneumatic retinopexy is an office-based procedure often used for small and uncomplicated retinal detachments, particularly those involving a single tear in the superior part of the retina. […] Vitrectomy is a surgical procedure used to treat complicated retinal detachments. […] Scleral buckle surgery is a procedure in which one or more silicone bands are placed around the outer layer of the eye, known as the sclera.
- #1 Retinal detachment – Diagnosis and treatment – Mayo Clinichttps://www.mayoclinic.org/diseases-conditions/retinal-detachment/diagnosis-treatment/drc-20351348
Indenting the surface of the eye. This surgery is called scleral (SKLAIR-ul) buckling. It involves the surgeon sewing a piece of silicone to the white part of the eye, called the sclera, over the affected area. This surgery indents the wall of the eye and relieves some of the force caused by the vitreous tugging on the retina. […] Draining and replacing the fluid in the eye. This surgery is known as vitrectomy (vih-TREK-tuh-me). The surgeon removes the vitreous along with any tissue that is tugging on the retina. Air, gas or silicone oil is then injected into the vitreous space to help flatten the retina. […] After surgery, your vision may take months to get better. You may need a second surgery for successful treatment. Some people never get back all of their lost vision.
- #1 Retinal detachment | Macular Disease Foundation Australia Macular Disease Foundation Australiahttps://www.mdfoundation.com.au/about-macular-disease/other-macular-conditions/retinal-detachment/
A pneumatic retinopexy involves injecting a gas bubble into your eye. This bubble then presses the retina back in place, and cryotherapy or laser is applied around the hole or tear. The gas is reabsorbed over time and is replaced by fluid as the eye heals. […] A vitrectomy involves removing the vitreous gel from the eye. The vitreous is replaced with a gas bubble or silicone oil which holds the retina in place against the inside of your eye. If a silicone oil is used, it is removed a few months later by the ophthalmologist. […] A scleral buckle involves attaching a tiny piece of silicone material to the outside of your eye. This pushes the outside of the eye against the detached retina into a position which helps the retina to re-attach. Cryotherapy or laser treatment is used to seal the area around the retinal tear. The buckle usually isn’t removed and it’s not visible after surgery.
- #1 Retinal Tear & Detachment Treatment – SightMDhttps://www.sightmd.com/services/retina-care/retinal-tear-detachment-treatment/
During a vitrectomy, your provider: Surgically removes the vitreous. Places a bubble of air, gas or oil in the eye to push the retina back in place. If your provider uses an oil bubble, you’ll have it removed a few months later. Gas and air bubbles get reabsorbed. If you have a gas bubble, you may have to avoid activities at certain altitudes. The altitude change can increase the size of the gas bubble and the pressure in your eye. You’ll have to avoid flying and traveling to high altitudes. Your provider will tell you when you can start these activities again.
- #1 Retinal Detachment Surgery: Understanding Your Treatment Optionshttps://www.allaboutvision.com/treatments-and-surgery/vision-surgery/retinal-detachment-surgery/
A vitrectomy may be recommended for complex retinal detachments, including those with significant scarring or large tears. […] The recovery time after retinal detachment surgery varies depending on your retinal detachment, medical history and the type of surgery performed. […] Most people have a good prognosis after retinal detachment surgery. Vision is usually improved and sometimes fully restored. Ninety percent of retinal detachment repairs are successful, although some patients may require more than one procedure. […] If you have been diagnosed with a retinal detachment, it is important to discuss treatment options and post-surgical expectations with your doctor. Fortunately, prompt treatment frequently restores some or all vision.
- #1 Treatment Options for Retinal Detachment: Retina Specialists: Retinal Ophthalmologistshttps://www.retinaspecialists.com/blog/treatment-options-for-retinal-detachment
A scleral buckle is a thin band that fits around the white part (the sclera) of your eye. The buckle puts gentle pressure on the sides of your eye, which helps push your retina back into place and keep it there. […] During a vitrectomy, we carefully remove most of your vitreous fluid. Then, we can either fill your eye with a clear liquid like silicone oil or a gas bubble. The pressure of the new substance in your eye pushes your retina back into place. […] One of our ophthalmologists examines your eye to assess your retinal tear before making a recommendation. The severity of your condition determines which treatment is most likely to repair your eye and prevent vision loss. […] We often combine treatments. As mentioned above, we may use a laser or cryopexy surgery in addition to a pneumatic retinopexy, scleral buckle, or vitrectomy. We may also combine a scleral buckle and vitrectomy. […] Retinal detachments are an emergency. If you have any signs of this condition, call one of our offices right away.
- #1 Retinal Detachment | National Eye Institutehttps://www.nei.nih.gov/learn-about-eye-health/eye-conditions-and-diseases/retinal-detachment
Surgery. If a larger part of your retina is detached from the back of your eye, you may need surgery to move your retina back into place. You may need to get these surgeries in a hospital. […] Treatment for retinal detachment works well, especially if the detachment is caught early. In some cases, you may need a second treatment or surgery if your retina detaches again but treatment is ultimately successful for about 9 out of 10 people.
- #1 Retinal Detachment Encino | Treatment Advances for Retinal Detachmenthttps://colvardvision.com/eye-care-services-los-angeles/treatment-advances-for-retinal-detachment/
Thanks to these advanced techniques, most retinal detachments can be repaired. If the detachment is not too extensive, there is a 90% chance that vision can be completely restored. Even in advanced detachments some useful vision can frequently be recovered and the retina physically reattached. The ultimate return of vision depends primarily on the severity and duration of the preceding retinal detachment. Early diagnosis and treatment are the best assurances for optimum return of vision.
- #1 Retina Albuquerque | Retinal Detachment Santa Fe | Eye NMhttps://www.eyenm.com/retina-center-albuquerque/retinal-tears-detachment/
Small holes and tears are treated with laser surgery or a freeze treatment called cryopexy. […] Retinal detachments are treated with surgery that may require the patient to stay in the hospital. […] Gas is often injected into the eye to replace the vitreous and reattach the retina; the gas pushes the retina back against the wall of the eye. […] With modern therapy, over 90 percent of those with a retinal detachment can be successfully treated, although sometimes a second treatment is needed. […] Visual results are best if the retinal detachment is repaired before the macula (the center region of the retina responsible for fine, detailed vision) detaches.
- #1 Retinal Detachment Surgery | UPMC Vision Institutehttps://www.upmc.com/services/eye/services/retinal-detachment-surgery
A detached retina happens when the light-sensitive layer at the back of your eye pulls away from the underlying tissue. Retinal detachment is an emergency and needs treatment right away to prevent vision loss. […] Retinal detachment surgery is one of several treatments to reattach the retina to the back of the eye. Small retinal tears may not need surgery. Your doctor may be able to fix tiny holes or tears in the retina with freeze treatment or laser procedures. […] Complete retinal detachments may require surgery. At the UPMC Vision Institute, our experts do three retinal detachment treatments. They are: Scleral buckle. The doctor sews a patch of rubber or soft plastic to the outside of the eyeball. This patch pushes the wall of the eye closer to the retina to help close it. The doctor may seal it with lasers or a freeze treatment. Pneumatic retinopexy. The doctor inserts a small air bubble into the eye to push the retina back into place. They may use laser or freeze treatment to repair any holes or tears. As the eye heals, your body will make fluid to fill the eye and replace the gas bubble. Vitrectomy. The doctor will remove the vitreous gel if it’s pulling on the retina. They then push the retina back and seal it with a laser. They fill the eye with a gas bubble to hold the retina in place during healing.
- #1 Retinal Detachment: Symptoms & Causeshttps://my.clevelandclinic.org/health/diseases/10705-retinal-detachment
After treatment for a detached retina, you may have some discomfort. […] You cant prevent rhegmatogenous retinal detachment, but you can take steps to lower your risk: Get regular eye care: Eye exams protect your eye health. […] Your outlook depends on factors like how clear your vision was before the retinal detachment, how extensive your detachment was and if there are any other complicating factors. […] In general, surgery for rhegmatogenous retinal detachment is highly successful the repair works about nine out of 10 times. […] If you have retinal detachment (or face a higher risk), ask your provider: Which retinal detachment treatment is best for me? […] Youll need some type of surgery to fix a detached retina.
- #1https://myhealth.alberta.ca/Health/aftercareinformation/pages/conditions.aspx?hwid=abp2623
You have had surgery to fix a retinal detachment. Your doctor may also have fixed a tear in your retina. […] Your eye doctor may put drops in your eye to prevent infection and keep the pupil from opening wide or closing. You will also use these drops at home. […] If your doctor used a gas bubble to flatten your retina during surgery, you may have to keep your head in a certain position for a few days or longer. Your doctor will give you special instructions about this. […] You will need 2 to 4 weeks to recover before returning to your normal activities. […] You will probably need to take 2 to 4 weeks off from work. It depends on the type of work you do and how you feel. […] You will need to use eyedrops for up to 6 weeks. […] If your doctor used a gas bubble to hold the retina in place, you’ll have to keep your head in a certain position for a few days or longer after the surgery. Your doctor will give you special instructions about this. […] Follow-up care is a key part of your treatment and safety. Be sure to make and go to all appointments, and call your doctor or nurse advice line if you are having problems.
- #1https://www.aao.org/eye-health/diseases/detached-torn-retina
Your sight should begin to improve about four to six weeks after surgery. It could take months after surgery for your vision to stop changing. Also, your retina may still be healing for a year or more after surgery. How much your vision improves depends on the damage the detachment caused to the cells of the retina.
- #1 Retinal Detachment: Types, Symptoms, Causes, Diagnosis, and Treatmenthttps://www.webmd.com/eye-health/eye-health-retinal-detachment
About 80% to 90% of retina procedures are successful, but you might need to have more than one. It may take several months for your vision to return. Some people dont get all of their vision back, especially in more severe cases. […] A detached retina wont heal on its own. Its important to get medical care as soon as possible so you have the best odds of keeping your vision. […] Possible complications of retinal detachment surgery […] Any surgical procedure has some risks. Surgery for a detached retina can lead to: […] Infection […] Bleeding […] Higher pressure inside your eye (glaucoma) […] Fogging of the lens in your eye (cataract)
- #1 Detached Retina Recovery Process, Timeline, and Outlookhttps://www.healthline.com/health/eye-health/detached-retina-recovery
After retinal detachment surgery, you may wonder whats in store during your recovery. […] Follow these tips to promote healing after retinal detachment surgery: […] Your doctor should provide specific recovery instructions based on your exact procedure. […] After undergoing a retinal attachment procedure, its important to avoid: […] There shouldnt be any long-term restrictions after retinal detachment surgery. […] Surgery for a detached retina may increase your risk of: […] In most cases, the benefits of retinal detachment surgery outweigh the risks. […] Exactly how much your vision may improve depends on how much damage your retina sustained as a result of the detachment. […] Retinal detachment surgery is successful for 90% of those who undergo it. […] Treatment works especially well when the detached retina is caught early.
- #1 Recurrent Retinal Detachment: Does Initial Treatment Matter? – Retina Todayhttps://retinatoday.com/articles/2013-jan/recurrent-retinal-detachment-does-initial-treatment-matter
Despite the use of these procedures, there are still failures, typically due to proliferative vitreoretinopathy (PVR). […] The number of PVR cases is slightly higher in the vitrectomy group than the scleral buckle group, although these cases aren’t always identified in studies. […] The single operation success rate was 82% in the combined procedure, 83% in the primary vitrectomy group, and 86% in the buckle group, with phakic eyes doing better in the scleral buckle group. […] In our study, patients in whom a primary scleral buckle was unsuccessful required fewer secondary procedures, by about 30%, than those in whom an initial vitrectomy was unsuccessful, and were 3 times as likely to require silicone oil for their secondary repair.
- #1 Management of retinal detachment: a guide for non-ophthalmologistshttps://pmc.ncbi.nlm.nih.gov/articles/PMC2405853/
Patients with retinal detachment often present to their general practitioner, emergency department, or optometrist after central vision has been compromised. This delay is unfortunate because early repair results in little or no visual loss. […] Once the retina is detached, additional surgical procedures are required to reattach it and seal the breaks. Most retinal detachments not involving the macula are repaired on the same day or the following day. For patients presenting with the macula already detached, the macula should be reattached within five days, but the urgency of the surgery is influenced by individual factors such as the duration of symptoms, the height of macular detachment, and visual acuity. […] Scleral buckling and vitrectomy with gas tamponade are the most common surgical approaches to repairing retinal detachment.
- #1 Retinal detachment repair Information | Mount Sinai – New Yorkhttps://www.mountsinai.org/health-library/surgery/retinal-detachment-repair
If the retina has just started to detach, a procedure called pneumatic retinopexy may be done to repair it. […] Severe detachments need more advanced surgery. The following procedures are done in a hospital or outpatient surgery center: The scleral buckle method indents the wall of the eye inward so that it meets the hole in the retina. Scleral buckling can be done using numbing medicine while you are awake (local anesthesia) or when you are asleep and pain free (general anesthesia). The vitrectomy procedure uses very small devices inside the eye to release tension on the retina. This allows the retina to move back into its proper position. Most vitrectomies are done with numbing medicine while you are awake. […] Retinal detachments do not get better without treatment. Repair is needed to prevent permanent vision loss.
- #1 Retinal Detachmenthttps://www.asrs.org/retinaldetachment
The goal of treatment is to re-attach the retina to the back wall of the eye and seal the tears or holes that caused the retinal detachment. Several approaches can be employed to repair a retinal detachment: […] Scleral buckle In this surgery, a silicone band is placed outside the eye wall to push the wall of the eye closer to the retinal tear in order to close the tear. The tear is treated with a freezing treatment to induce controlled scarring around the tear and permanently seal it. The fluid under the retina is sometimes removed at the time of surgery. […] Vitrectomy In this surgery, three small incisions are made in the white part of the eye and fine instruments are manipulated using an operating microscope to remove the vitreous gel that fills the eye and drain the fluid from under the retina. The surgeon may then use a laser or cryopexy to seal the retinal tears or holes. The eye is then filled with a gas bubble to hold the retina in place while it heals.
- #1 Retinal Detachmenthttps://www.asrs.org/retinaldetachment
Pneumatic retinopexy In this office-based procedure, a gas bubble is injected into the eye and the patient maintains a specific head posture to position the gas bubble over the retinal tear. The tear itself is sealed either with a freezing treatment at the time of the procedure, or with laser after the retina is re-attached. […] Laser surgery In certain cases, a retinal detachment can be walled off with laser to prevent the retinal detachment from spreading. This is generally appropriate for small detachments. […] Based on the characteristics of the detachment, a retina specialist can determine which approach is most suitable. In general, retinal detachment repairs succeed in about 9 out of 10 cases, though sometimes more than one procedure is required to successfully put the retina back into place.
- #1 Retinal Detachmenthttps://www.asrs.org/retinaldetachment
The visual results depend on each patients pre-operative vision and other factors that differ between individual patients. In general, when the center of the retina has not detached before surgery, the post-operative vision tends to be similar to the pre-operative vision. If the central retina is detached prior to surgery, successful re-attachment often leads to vision improvement, though some degree of permanent vision loss may occur.
- #2 Retinal detachment – Symptoms and causes – Mayo Clinichttps://www.mayoclinic.org/diseases-conditions/retinal-detachment/symptoms-causes/syc-20351344
Retinal detachment is an emergency situation in which the thin layer of tissue at the back of the eye, called the retina, pulls away from its usual position. […] The longer retinal detachment goes without treatment, the greater the risk of permanent vision loss in the affected eye. […] See a healthcare professional right away if you have any symptoms of retinal detachment. This condition is an emergency that can cause lasting vision loss. […] Most eye floaters don’t require treatment, but your eye doctor likely will recommend regular eye exams to ensure the condition doesn’t worsen. […] If a tear develops in the retina, fluid can get in underneath that tear and just lift the retina off like wallpaper off a wall and that’s a retinal detachment.
- #2 Retinal Tear & Detachment Treatment – SightMDhttps://www.sightmd.com/services/retina-care/retinal-tear-detachment-treatment/
Your eye care provider will discuss treatment options with you. You may need a combination of treatments for the best results. Treatments include: […] Sometimes, your provider will diagnose a retinal tear before the retina starts pulling away. Your provider uses a medical laser or a freezing tool to seal the tear. These devices create a scar that holds the retina in place. […] Your provider may recommend this approach if the detachment isn’t as extensive. After surgery, your provider will recommend that you keep your head still for a few days to promote healing. You also may be told not to lie on your back. […] During this procedure: Your provider surgically places a silicone band (buckle) around the eye. The band holds the retina in place and stays there permanently. You can’t see the band. The detached retina starts healing. Laser or cryopexy are used to seal the tear.
- #2 Retinal Tearshttps://www.asrs.org/patients/retinal-diseases/26/retinal-tears
If a retinal tear is diagnosed promptly before it progresses to retinal detachment, the prognosis is extremely good. Retinal tears are typically treated with laser or a freezing procedure (cryotherapy). Treatment is performed in an office setting and is very effective and quite safe. […] The treatment creates spot-welding around the edges of the tear that nearly eliminates the risk of the tear progressing to retinal detachment. After a tear has been treated, there remains a future risk of developing additional, separate retinal tears; therefore, continued monitoring is important. […] Not all retinal tears require treatment. When low-risk tears are identified in patients who have no symptoms, these tears can be observed without treatment. Some tears treat themselves, meaning they develop adhesion around the tear without treatment, and these situations can be followed without treatment as well.
- #2 Retinal Detachment | National Eye Institutehttps://www.nei.nih.gov/learn-about-eye-health/eye-conditions-and-diseases/retinal-detachment
Laser treatment, surgery […] If you have symptoms of retinal detachment, go to your eye doctor or the emergency room right away. Retinal detachment can cause permanent vision loss but getting treatment right away can help protect your vision. […] Depending on how much of your retina is detached and what type of retinal detachment you have, your eye doctor may recommend laser surgery, freezing treatment, or other types of surgery to fix any tears or breaks in your retina and reattach your retina to the back of your eye. Sometimes, your eye doctor will use more than one of these treatments at the same time. […] Freeze treatment (cryopexy) or laser surgery. If you have a small hole or tear in your retina, your doctor can use a freezing probe or a medical laser to seal any tears or breaks in your retina. You can usually get these treatments in the eye doctors office.
- #2 Retinal Detachment: Types, Symptoms, Causes, Diagnosis, and Treatmenthttps://www.webmd.com/eye-health/eye-health-retinal-detachment
Your treatment may involve one or more of these procedures: […] Laser (thermal) or freezing (cryopexy). Both methods can repair a tear if its diagnosed early enough. Theyre often done in the doctor’s office. […] Pneumatic retinopexy. This works well for a tear thats small and easy to close. Your doctor injects a tiny gas bubble into your vitreous gel. It presses against the upper part of your retina, closing the tear. Youll need to hold your head in a certain position for several days to keep the bubble in the right place. […] Scleral buckle. Your doctor sews a silicone band (buckle) around the white of your eye (called the sclera). This pushes it toward the tear or detachment until it heals. This band is invisible and is permanently attached. […] Vitrectomy. This surgery repairs large tears or detachment. Your doctor removes the vitreous gel and replaces it with a gas bubble or oil. A vitrectomy also might require you to hold your head in one position for some time.
- #2 What is a retinal tear and what is a retinal detachment?https://www.wolfeeyeclinic.com/medical-services/retina-disease/retinal-tear-and-detachment
Retina detachments can be repaired with scleral buckle surgery. This procedure is performed in a special operating room under sedation or while you are asleep. The tears or holes in the retina that caused the detachment are located and treated with freezing therapy or laser. A special silicone band (scleral buckle) is placed around the eye, under the skin and muscles, gently pushing on the wall of the eye to keep the retina attached. Once the fluid has been drained from under the retina, the skin of the eye closed with dissolving stitches. […] Some types of retina detachments can be repaired with an in-office procedure called a pneumatic retinopexy. During this procedure, after the eye is numbed, the retina tears are treated with freezing or laser and a gas bubble is injected. The gas bubble floats and pushes the retina back into place.
- #2 Retinal Detachment, Retinal Tear, Retinal Detachment Surgeryhttps://www.willseye.org/retinal-detachment/
Scleral buckle surgery is performed in the operating room. 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. […] Vitrectomy surgery is also performed in the operating room. As the name implies, it involves surgical removal of the vitreous gel which, in turn, relieves the traction or pulling on the retinal tear that is causing the detachment.
- #2 Retinal Detachment Surgery Boston MA | Detached Retina Specialist Near Me | Costhttps://www.bostonvision.com/services/retina/retinal-detachment/
Your retina specialist at Boston Vision will perform a detailed eye exam, paying special attention to the peripheral retina. If they diagnose retinal detachment, treatment options will be discussed. The treatment options are Scleral buckle, vitrectomy, pneumatic retinopexy, and laser surgery. […] In this surgery, a polymer band is placed around the eye to support the retina and resolve retinal detachment. The band is placed under the layer that covers the eye and is invisible after the surgery is completed. The benefit of scleral buckle surgery is that it usually does not require positioning of the head after the surgery. […] During this retinal detachment surgery, your eye doctor will remove the vitreous gel and fluid from under the retina. Then, the surgeon may use a laser or freezing treatment to seal the detached retina. The eye will be filled with a special gas or oil bubble to hold the retina in place while it is healing.
- #2 Retinal Detachment Encino | Treatment Advances for Retinal Detachmenthttps://colvardvision.com/eye-care-services-los-angeles/treatment-advances-for-retinal-detachment/
Each year, about one in 10,000 persons in the United States suffers a retinal detachment. If untreated, serious and sometimes total loss of vision in the affected eye can result. Today advanced techniques for surgery make it possible to restore vision in most cases, but the key is early detection and diagnosis. […] When a retinal tear or hole develops but has not yet progressed to retinal detachment, doctors can prevent detachment by sealing the area around the hole with laser or with a freezing device called the cryoprobe. The process is known as cryopexy. Neither laser nor cryopexy requires admission to a hospital, and can be performed on an outpatient basis. […] For retinal detachment, there are now several possible treatments for certain small detachments a recently developed gas bubble can be placed inside the eye which expands and flattens the retina against the wall of the eye. Laser or cryopexy is then applied to the tear. For more complicated detachments, admission to the hospital for surgery is frequently required, and an operation called a scleral buckle is typically performed. A scleral buckle is a piece of soft silicone which indents the outer wall of the eye, seals the tear and repairs the detachment. For yet other very complicated detachments, a microscopic intraocular procedure called vitrectomy is now performed.
- #2 Retinal detachment | Macular Disease Foundation Australia Macular Disease Foundation Australiahttps://www.mdfoundation.com.au/about-macular-disease/other-macular-conditions/retinal-detachment/
A pneumatic retinopexy involves injecting a gas bubble into your eye. This bubble then presses the retina back in place, and cryotherapy or laser is applied around the hole or tear. The gas is reabsorbed over time and is replaced by fluid as the eye heals. […] A vitrectomy involves removing the vitreous gel from the eye. The vitreous is replaced with a gas bubble or silicone oil which holds the retina in place against the inside of your eye. If a silicone oil is used, it is removed a few months later by the ophthalmologist. […] A scleral buckle involves attaching a tiny piece of silicone material to the outside of your eye. This pushes the outside of the eye against the detached retina into a position which helps the retina to re-attach. Cryotherapy or laser treatment is used to seal the area around the retinal tear. The buckle usually isn’t removed and it’s not visible after surgery.
- #2 Retinal Detachment Lexington | Retinal Tears Louisville | Retina Associateshttps://www.retinaky.com/retina-detachment-ashland/
Vitrectomy This treatment is performed in an operating room under either local or general anesthesia. The vitreous gel, which is pulling on the retina, is removed from the eye and usually replaced with either a gas or oil bubble to keep the retina in place. Your body’s fluids will gradually replace a gas bubble. An oil bubble has to be removed from the eye at a later date with another surgical procedure. Sometimes a Vitrectomy is combined with a Scleral Buckle. […] It is important to seek treatment as soon as your symptoms occur to increase your chances of preserving vision.
- #2 Retinal Detachment Encino | Treatment Advances for Retinal Detachmenthttps://colvardvision.com/eye-care-services-los-angeles/treatment-advances-for-retinal-detachment/
Thanks to these advanced techniques, most retinal detachments can be repaired. If the detachment is not too extensive, there is a 90% chance that vision can be completely restored. Even in advanced detachments some useful vision can frequently be recovered and the retina physically reattached. The ultimate return of vision depends primarily on the severity and duration of the preceding retinal detachment. Early diagnosis and treatment are the best assurances for optimum return of vision.
- #2 Detached Retina Recovery Process, Timeline, and Outlookhttps://www.healthline.com/health/eye-health/detached-retina-recovery
After retinal detachment surgery, you may wonder whats in store during your recovery. […] Follow these tips to promote healing after retinal detachment surgery: […] Your doctor should provide specific recovery instructions based on your exact procedure. […] After undergoing a retinal attachment procedure, its important to avoid: […] There shouldnt be any long-term restrictions after retinal detachment surgery. […] Surgery for a detached retina may increase your risk of: […] In most cases, the benefits of retinal detachment surgery outweigh the risks. […] Exactly how much your vision may improve depends on how much damage your retina sustained as a result of the detachment. […] Retinal detachment surgery is successful for 90% of those who undergo it. […] Treatment works especially well when the detached retina is caught early.
- #2 Retinal Detachmenthttps://www.asrs.org/retinaldetachment
The visual results depend on each patients pre-operative vision and other factors that differ between individual patients. In general, when the center of the retina has not detached before surgery, the post-operative vision tends to be similar to the pre-operative vision. If the central retina is detached prior to surgery, successful re-attachment often leads to vision improvement, though some degree of permanent vision loss may occur.
- #2 Detached Retina (Retinal Detachment) | Kellogg Eye Center | Michigan Medicinehttps://www.umkelloggeye.org/conditions-treatments/detached-retina-retinal-detachment
You can expect some discomfort after surgery for a detached retina. Your ophthalmologist will prescribe any necessary medications for you and advise you when to resume normal activity. […] Any surgery has risks; however, an untreated retinal detachment will usually result in permanent severe vision loss or blindness. […] Vision may take many months to improve and in some cases may never fully return.
- #2 Detached Retina Recovery Process, Timeline, and Outlookhttps://www.healthline.com/health/eye-health/detached-retina-recovery
Your vision may be blurry immediately after retinal detachment surgery. […] Recovery time from retinal detachment surgery takes an average of 38 weeks. […] Doctors can use various procedures to help correct a detached retina and preserve your vision. […] However, the earlier retinal detachment is detected and treated, the more favorable the results may be.
- #2 Retinal detachment | Better Health Channelhttps://www.betterhealth.vic.gov.au/health/conditionsandtreatments/retinal-detachment
Vitrectomy surgery under an operating microscope the vitreous is surgically removed using very fine instruments, any tears are treated with laser or cryotherapy and the eye is filled with gas or silicone oil. […] In most specialist centres around nine out of ten retinal detachments are successfully repaired with a single operation. […] The final success rate is over 95 per cent. […] If you have had gas inserted into your eye as part of your retinal re-attachment procedure, it is extremely important that you do not fly until it has completely reabsorbed.
- #2 Evaluation and Management of Suspected Retinal Detachment | AAFPhttps://www.aafp.org/pubs/afp/issues/2004/0401/p1691.html
An alternative means to relieve vitreoretinal traction is to remove the vitreous humor. This approach, called posterior vitrectomy, is successful in 75 to 90 percent of patients. […] If the central macula has not yet detached when the repair is achieved, visual acuity equal to preretinal detachment levels can be expected. […] Therefore, surgical repair is indicated more urgently in patients with preserved central acuity, less urgently in patients whose macula detached in the previous hours to days, and routinely in those whose macula has been detached for several days or weeks. […] Retinal detachment surgery fails in 5 to 10 percent of patients because of the growth of scar tissue on the retinal surface in the weeks following repair.
- #2 Retinal Detachment Surgery | UPMC Vision Institutehttps://www.upmc.com/services/eye/services/retinal-detachment-surgery
Detached retina surgery is serious. Your eye is a delicate and complex organ. However, you will lose your eyesight if you have a detached retina and don’t have retina surgery. […] The main benefit of retina surgery not losing your vision almost always outweighs the risks of surgery. Retinal detachment treatment is successful for nine out of 10 people. […] It’s vital to have detached retina treatment as soon as possible. The more quickly you get treatment, the less likely you will lose some or all of your vision.
- #2 Retinal Detachment: Improving Outcomes with Technique and Technology – Advances for Medical Professionals | NewYork-Presbyterianhttps://www.nyp.org/publications/professional-advances/ophthalmology/retinal-detachment-improving-outcomes-with
The surgical techniques and technology currently available today have greatly improved outcomes in the treatment of retinal detachment. […] In many cases, speed in treatment is critical. Macula-on retinal detachment is, essentially, an emergency, says Dr. Papakostas. We operate as soon as possible, usually on the same day or next day so that we can preserve the patients vision. […] Pneumatic retinopexy, performed in the office, involves injecting a gas bubble into the middle of the eye so that the bubble floats and presses against the retinal tear. The surgeon then seals the tear by applying cryotherapy or laser to the break. […] Other procedures include scleral buckling and vitrectomy; the indications for each is different depending on the unique characteristics of the retinal detachment, says Dr. Papakostas.
- #2 Retinal detachment | Macular Disease Foundation Australia Macular Disease Foundation Australiahttps://www.mdfoundation.com.au/about-macular-disease/other-macular-conditions/retinal-detachment/
A retinal detachment is a medical emergency. Without prompt treatment, you risk permanent sight loss. […] A retinal detachment is an emergency and needs to be assessed and treated as soon as possible. […] If a retinal detachment is not detected and treated it may result in the permanent loss of some or all the vision in your eye. […] Treatment for rhegmatogenous retinal detachment involves surgery to reposition the retina against the back of the eye. The sooner treatment is carried out, the better the results are likely to be. If retinal detachment is not treated then you are likely to lose all the vision in the affected eye over time. A retinal detachment will not get better without treatment. […] The type of surgery or combination of surgeries depends on the type and location of the detachment and any complicating factors, such as other eye conditions you may have. You should discuss the risks and benefits of surgery with your ophthalmologist.
- #2 Retinal Detachmenthttps://www.asrs.org/retinaldetachment
Pneumatic retinopexy In this office-based procedure, a gas bubble is injected into the eye and the patient maintains a specific head posture to position the gas bubble over the retinal tear. The tear itself is sealed either with a freezing treatment at the time of the procedure, or with laser after the retina is re-attached. […] Laser surgery In certain cases, a retinal detachment can be walled off with laser to prevent the retinal detachment from spreading. This is generally appropriate for small detachments. […] Based on the characteristics of the detachment, a retina specialist can determine which approach is most suitable. In general, retinal detachment repairs succeed in about 9 out of 10 cases, though sometimes more than one procedure is required to successfully put the retina back into place.
- #2 Retinal Detachment > Fact Sheets > Yale Medicinehttps://www.yalemedicine.org/conditions/retinal-detachment
Retinal surgery is usually done in an outpatient basis. Patients come in the morning, get the surgery done in the Yale Eye Center surgery center or a hospital, and then leave the hospital or the surgery center by noon. […] For conditions such as retinal detachment, the success rate is around 90 percent.
- #2 Retina Albuquerque | Retinal Detachment Santa Fe | Eye NMhttps://www.eyenm.com/retina-center-albuquerque/retinal-tears-detachment/
Small holes and tears are treated with laser surgery or a freeze treatment called cryopexy. […] Retinal detachments are treated with surgery that may require the patient to stay in the hospital. […] Gas is often injected into the eye to replace the vitreous and reattach the retina; the gas pushes the retina back against the wall of the eye. […] With modern therapy, over 90 percent of those with a retinal detachment can be successfully treated, although sometimes a second treatment is needed. […] Visual results are best if the retinal detachment is repaired before the macula (the center region of the retina responsible for fine, detailed vision) detaches.
- #3 Management of retinal detachment: a guide for non-ophthalmologistshttps://pmc.ncbi.nlm.nih.gov/articles/PMC2405853/
Patients with retinal detachment often present to their general practitioner, emergency department, or optometrist after central vision has been compromised. This delay is unfortunate because early repair results in little or no visual loss. […] Once the retina is detached, additional surgical procedures are required to reattach it and seal the breaks. Most retinal detachments not involving the macula are repaired on the same day or the following day. For patients presenting with the macula already detached, the macula should be reattached within five days, but the urgency of the surgery is influenced by individual factors such as the duration of symptoms, the height of macular detachment, and visual acuity. […] Scleral buckling and vitrectomy with gas tamponade are the most common surgical approaches to repairing retinal detachment.
- #3 Retinal Tear Surgery | Retinal Consultants Medical Grouphttps://www.retinalmd.com/retina-conditions/retinal-tear
Tears can easily act as a channel for fluid to track under the retina, causing a retinal detachment. When a retinal tear or hole hasn’t yet progressed to detachment, your eye surgeon may suggest an outpatient procedure which can usually prevent retinal detachment and preserve vision. […] Small holes and tears are treated with laser surgery or a freeze treatment called cryopexy. […] As healing takes place, a water-tight seal is formed, preventing a retinal detachment. […] Cryopexy is used in instances where tears are difficult to visualize or reach with a laser or when fluid has already begun to seep under the retina. […] If a retinal tear is caught before much fluid has gotten under the retina, a laser procedure can be done to seal the retina.
- #3 Retinal Detachment: Types, Symptoms, Causes, Diagnosis, and Treatmenthttps://www.webmd.com/eye-health/eye-health-retinal-detachment
About 80% to 90% of retina procedures are successful, but you might need to have more than one. It may take several months for your vision to return. Some people dont get all of their vision back, especially in more severe cases. […] A detached retina wont heal on its own. Its important to get medical care as soon as possible so you have the best odds of keeping your vision. […] Possible complications of retinal detachment surgery […] Any surgical procedure has some risks. Surgery for a detached retina can lead to: […] Infection […] Bleeding […] Higher pressure inside your eye (glaucoma) […] Fogging of the lens in your eye (cataract)