![]() ![]() Any surgical procedure carries a risk of haemorrhage and infection but in retinal detachment surgery this risk is very low (less than one in a thousand). A cataract is the lens of the eye becoming cloudy and will require a short operation to remove it.ģ. If a gas or oil bubble is used during surgery then you will usually develop a cataract in the eye within the first 18 months. The reasons for this are new tears forming in the retina or the eye forming scar tissue which contracts and pulls off the retina again.Ģ. This means that 1 in 10 people (10%) will need more than one operation. The success rate for retinal detachment surgery is approximately 90% with a single operation. These are the risks and benefits that will be explained to you before you give consent for surgery.ġ. Some patients may need more than one operation. Every patient is different and some retinal detachments are harder to treat than others. Retinal detachment surgery is not always successful. What are the risks of retinal detachment surgery? You may have lost vision already from the retinal detachment and even with successful surgery your vision may not return to normal. The most obvious benefit is preventing you from going blind in the affected eye. What are the benefits of retinal detachment surgery? The decision as to which type of anaesthesia is most suitable will be made following a discussion between you and your surgeon. If a general anaesthetic is chosen then you will be fully asleep. You will not see the operation and the other eye will be covered. Under local anaesthetic you will be awake but you will not feel any discomfort as the eye will be numbed with an injection. Retinal detachment surgery can be performed under local anaesthetic or general anaesthetic. What anaesthetic is required for retinal detachment surgery? The 15 minutes out of every hour when you are not posturing should be spent moving around or taking gentle exercise to relieve discomfort and general body ache. You will be required to posture 45 minutes out of every hour during the day. ![]() Posturing is often the hardest part of the recovery after surgery but is important and should be regarded as the second stage of the operation. There are various posturing positions and your surgeon will advise you on the one appropriate to you. Posturing involves placing your head in a specific position to allow the gas or oil bubble to float into the best position to support the retina. With a gas or oil bubble in the eye your surgeon may ask you to posture after the operation for up to 10 days. The buckle is not visible on the outside of the eye and usually remains in place permanently. This acts as a ‘splint’ and produces a dent within the eye and pushes the outer wall of the eye up to the hole in the retina. The retinal holes can also be sealed and supported by stitching a piece of silicone rubber or sponge to the outside of the eye. To use the gas or oil bubble to its best effect your surgeon may ask you to posture and this will be covered in a following section. Your vision will be very blurred initially due to the presence of the gas or oil bubble. A gas bubble slowly absorbs over 2 to 8 weeks but a silicone oil bubble will need a small operation to remove it at a later date. A gas or silicone oil bubble is then inserted into the eye to support the retina while it heals. Then to seal the tear the surgeon uses either laser or a freezing probe to make a scar around the tear. VitrectomyĪ vitrectomy involves removing the vitreous gel (that has caused the retinal tear) from inside the eye. The two methods used in retinal detachment surgery are vitrectomy or scleral buckle or a combination of the two. The treatment involves surgery and the main aim of surgery is to seal holes in the retina and reattach the retina. What is the treatment for retinal detachment? Some types of retinal detachments can run in families but these are rare. These include people who are short sighted, those who have had cataract surgery in the past and those who have suffered a severe direct blow to the eye. Most retinal detachments occur as a natural ageing process in the eye but certain people are at higher risk than others. In most cases the retina detaches because a hole or a tear has formed in the retina allowing fluid to pass underneath the retina. The retina is the light sensitive film at the back of the eye and retinal detachment is a condition where the retina peels away from the inner wall of the eye. Retinal Detachment What is a retinal detachment? ![]()
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