9/28/2023 0 Comments Retina detachment![]() ![]() In certain cases we may use silicone oil instead of gas your surgeon will review with you if this is appropriate for your surgery. We will place a green bracelet around your wrist indicating this after surgery, do not take off the bracelet until the gas dissipates from your eye. You cannot change elevation (fly on an airplane) or undergo general anesthesia with nitrous oxide gas while a gas bubble is in your eye. The gas bubble will dissipate from your eye within 4-6 weeks. The eye is then filled with an inert gas to keep the retina in position as it heals. The retina is then reattached and all retinal tears surrounded by laser. The vitreous is replaced by natural fluid produced inside the eye. The removal of the vitreous inside the eye does not cause any permanent harm. A vitrectomy surgery involves making 3 holes in the eye and using instruments to remove the jelly-like substance (the vitreous humor) that normally fills the center of the eye. This elongates your eye and makes you more nearsighted. ![]() A scleral buckling surgery involves positioning a silicone band around your eye beneath your eye muscles to bring in the walls of your eye. We use the most advanced surgical equipment and techniques available for retinal detachment surgery. Your retinal detachment surgery will likely involve a scleral buckling and/or vitrectomy procedure. Although not always the case, you can expect to need cataract surgery within a year of vitrectomy surgery in the operated eye. If you have not yet had cataract surgery, having vitrectomy surgery will accelerate progression of cataract in that eye. We will review any medications you are taking prior to surgery to ensure you are not taking any blood thinners that can increase your risk of bleeding. This can occur in or around the eye and lead to permanent vision loss. Anytime surgery is performed on the eye bleeding is a possible complication. If such an infection does occur it can be treated, although it may leave you with worse vision or in severe cases lead to blindness. Despite this, there is a very small chance that an infection can occur. Sterile technique is used during the procedure to minimize risk of infection. Anytime surgery is performed on the eye infection is a possible complication. 1 in 1000 risk of infection (endophthalmitis).There are several risks associated with retinal detachment surgery that you need to be fully aware prior to proceeding with surgery. Even after successful surgery, your vision will likely never be as good as it was prior to your retinal detachment. A retinal detachment is a very serious and potentially blinding condition. You need to keep in mind that our goal is to maximize the vision in your affected eye. We will monitor carefully for this during your postoperative visits. The highest risk of redetachment is within the first 3 months following surgery. The biggest reason for failure of retinal detachment surgery is the formation of scar tissue that redetaches the retina (proliferative vitreoretinopathy). 90% chance of reattachment of the retina with one surgery.Your vision after surgery will likely be worse if your macula has become detached.Īfter retinal detachment surgery, here are the outcomes that you can expect: Your final visual outcome will depend on how much nerve damage occurred with your retinal detachment. ![]() When the retina becomes detached, some amount of retinal nerve damage will occur that is permanent. He will then discuss with you an appropriate surgical plan to most safely and effectively reattach your retina.Īlthough a majority of our patients experience an improvement in vision after surgery, there are a small percentage of patients who do not have improved vision even after successful and uncomplicated surgery. ![]() He may need to press on your eye to examine your retina fully. Your surgeon will carefully examine your eye to identify all the retinal tears and determine the extent of the retinal detachment. We are able to detect a retinal detachment during an eye examination. Patients often complain of flashes, new floaters and a shadow forming in their vision when a retinal detachment occurs. They are more common in patients who are very near- sighted, have a family history of retinal detachment, and in eyes that have had prior trauma or eye surgery. Why do I have a Retinal Detachment? What are the symptoms?Ī retinal detachment occurs when a tear forms in the retina allowing fluid to get under the retina forming a detachment. *Image courtesy of the National Eye Institute ![]()
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