Retinal detachment surgery

Retinal detachment surgery

  Retinal detachment surgery is a procedure performed to repair a detached retina, which occurs when the retina—the light-sensitive layer at the back of the eye—peels away from its normal position. This condition is considered a medical emergency and requires prompt surgical intervention to prevent permanent vision loss.

There are different surgical techniques used to treat retinal detachment, and the choice of procedure depends on the severity and location of the detachment. Here are a few common surgical approaches:

1. Scleral Buckling: This is a common technique used to treat retinal detachment. It involves the placement of a silicone band or sponge on the outer surface (sclera) of the eye to provide support and indentation. The band or sponge compresses the sclera, reducing the traction on the retina and allowing it to reattach. The surgeon may also drain any fluid or gas that has accumulated beneath the detached retina.

2. Vitrectomy: In this procedure, the surgeon removes the vitreous gel, a gel-like substance that fills the center of the eye. This allows the surgeon to access the retina and address the underlying cause of the detachment. After removing the vitreous gel, the surgeon may use laser therapy or cryotherapy (freezing) to seal the retinal tears or holes. Depending on the case, the vitreous gel may be replaced with a gas bubble or silicone oil to help keep the retina in place during the healing process.

3. Pneumatic Retinopexy: This is a less invasive procedure suitable for certain types of retinal detachments. It involves injecting a gas bubble into the vitreous cavity of the eye. The patient's head is then positioned in a specific way to allow the bubble to float against the detached retina, pushing it back into place. Laser therapy or cryotherapy is applied to seal the retinal tears. Over time, the gas bubble is absorbed by the body.

Following retinal detachment surgery, the patient may be required to maintain a specific head position for a period of time to support proper healing and reattachment of the retina. The recovery process varies, and regular follow-up visits with the ophthalmologist are necessary to monitor progress and address any complications.

It's important to note that retinal detachment surgery is a specialized procedure performed by trained vitreoretinal surgeon. The specific details of the surgery, including the technique used and the post-operative care, will be determined by the surgeon based on each individual case.