EYE DISEASES  
RETINAL DETACHMENT (NEW)
 

Cataract
Cataract FAQ
Amblyopia
AMD
Astigmatism
Chalazion
Diabetic Retinopathy
Dry Eyes
Floaters
Glaucoma
Hyperopia
Myopia
Presbyopia
Pterygium
Retinal Detachment
Subconjunctival Hemmorage
Uveitis

A retinal detachment is a separation of the retina from its attachments to the underlying tissue within the eye, causing signals cannot be sent to the brain and vision will be impaired or totally lost.

Causes

  • Myopia
  • Injury
  • Cataract Surgery
  • Diabetic Retinopathy

Symptoms

Generally painless

  • Floaters
  • Flashes of light
  • Blurry vision
  • A shadow across your visual field
 

 

Treatment

Laser photocoagulation for holes & tears

Detachment of the retina due to a hole or tear can usually be prevented by performing laser retinopexy. We essentially surround the retinal defect with laser to induce greater adhesion of the retina to the back wall of the eye. This helps prevent fluid that normally is in the open cavity of the eye (the vitreous cavity) from flowing through the tear or hole and “dissecting” the retina off the back wall of the eye. Usually this can be accomplished in the office with topical anesthetic drops.

Cryotherapy

Cryotherapy is a method of “freezing” the retina where a retinal tear has occurred. This keeps the retina stuck in its proper place inside of the eye. The cryo probe is placed on the outside of the eye over the area of the tear. Cryotherapy is done on the front half of the eye where a laser cannot be used.

Scleral buckling

Scleral buckling is a surgical procedure whereby a piece of silicone plastic or sponge is sewn onto the sclera at the site of a retinal tear to push the sclera toward the retinal tear. The buckle holds the retina against the sclera until scarring seals the tear. It also prevents fluid leakage which could cause further retinal detachment. Scleral buckling is used to reattach the retina if the break is very large or if the tear is in one location.

Vitrectomy

Vitrectomy is the surgical removal of the vitreous gel from the middle of the eye. It may be done when there is a retinal detachment, because removing the vitreous gel gives your eye doctor better access to the back of the eye. The vitreous gel may also be removed if blood in the vitreous gel (vitreous hemorrhage) does not clear on its own. At the end of the surgery, silicone oil or a gas is injected into the eye to replace the vitreous gel and restore normal pressure in the eye.

** Don’t Delay! Prompt treatment is necessary to improve the chances of visual recovery.