11/11/2023 0 Comments Picture of detached retinaThe result of treatment can be variable, depending on preoperative characteristics, and how good the vision was prior treatment. Treatments are effective at reattaching the retina in most cases, although in some patients, additional procedures may be required. Retinal detachments can cause significant visual loss. Wall Art - Photograph - Sulphur Hexafluoride. Sue Ford/science Photo Library Arrow Down. Laser can be used in unusual cases to help wall off the retinal detachment and prevent worsening in a small retinal detachment. Ophthalmoscopy Of Detached Retina In Aids Patient Photograph. Often patients must keep their head in a face down position after the surgery. Laser or freezing is placed at the time of surgery, and a gas bubble is often left in the eye to help facilitate healing afterward. This isn’t to scare you, but to remind you that they can lead to blindness or permanent alteration of your sight. In this procedure the vitreous is removed from the eye and the retina is reattached during the surgery. Retinal detachment is a serious condition, and the symptoms are those you shouldn’t take lightly. Vitrectomy is also performed in the operating room. The buckle can also be combined with a vitrectomy surgery. In some cases, the fluid is drained during the operation. Usually freezing treatment is applied at the time of surgery to help close the retinal break. A silicone band is placed around the eye and cinched like a belt buckle around the eye, bringing the eye wall closer to the detached retina, which facilitates reattachment. Scleral buckles are placed in the operating room. It is critical that patients keep their head in a specific position until the retina is reattached in this procedure. The procedure has a good success rate in appropriately selected patients. A freezing treatment can be placed at the time of the gas injection, or laser can be placed at an additional visit afterward. In this office based procedure, a gas bubble is injected into the eye which in turn covers the retinal break until the retina reattaches. In some rare cases of limited detachment, laser barricade treatment may be most appropriate. Your doctor will discuss which may be most appropriate for your individual case. There are three main ways of re-attaching a detached retina: pneumatic retinopexy, scleral buckle placement, and vitrectomy. Your doctor will discuss the risks, benefits, and alternatives of the various treatment options. In certain types of serous or tractional detachments, your doctor may need additional laboratory work up or fluorescein angiography imaging to help investigate the cause of the retinal detachment. If there is significant cataract or bleeding inside the eye that clouds the view to your retina, your doctor may obtain a B-scan ultrasound to help rule out a retinal tear or detachment. Your doctor may order fundus photography to document the extent of the retinal detachment or confirm whether or not the macula or fovea are involved in the detached portion of the retina, as this has prognostic and treatment implications. Your doctor will do a complete eye exam including a dilated examination to look for any retinal tears, holes, or predisposing lesions.
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