Eye retinal detachment is an emergency that occurs when the retina, a light-sensitive membrane situated at the back of the eye, separates from its normal position.
The lens of the eye focuses an image on the retina when light passes through it. The retina is a thin layer of tissue that receives images and sends them as electric signals through the optic nerve to the brain.
So, when the retina separates from its normal position, it renders deprived of oxygen and nourishment. This may lead to retinal detachment surgery for treatment. As the retinal cells are cut off from the blood vessels that provide oxygen, the risk of partial or permanent vision loss increases. If it is not treated immediately, it may lead to severe consequences.
The sudden appearance of floaters or tiny specks or strings drifting through the field of vision
Partial vision loss that occurs as a curtain has pulled across your field of vision, with a shadowing effect
Photopsia: Sudden flashes of light in the eyes
Gradual reduction of side or peripheral vision
Symptoms occur rapidly and, if not addressed or treated immediately, may lead to eye surgery for retinal detachment. The risk of vision loss also increases with time if the symptoms are overlooked.
Whether this condition is caused by a tear, scar tissue, or disease, the types differ with the state of the retina.
It is the most common type of retinal detachment caused by a hole or a tear in the retina, making the fluid slip through the opening and collect underneath the retina, consequently pulling the retina away from the underlying tissues. The regions where the retina detaches lose their supply of blood and cease to work, causing loss of vision.
Aging is the most common cause of rhegmatogenous detachment. Vitreous, a gel-like substance that fills the inside of the eye may change in consistency or render more liquid with age. Usually, this gel-like substance separates from the surface of the retina without any complications and this condition is termed posterior vitreous detachment (PVD). The common complication of this separation is a tear.
Vitreous may tug on the retina with sufficient force to create a retinal tear when it separates or peels off the retina. If immediate measures are not taken, the liquid vitreous can pass through the tear and settle behind the space of the retina, causing detachment.
This type of retinal detachment is typically observed in people who have poorly controlled diabetes or people suffering from diabetes mellitus (which mainly affects the retinal vascular system).
In tractional retinal detachment, the scar tissue grows or contracts on the retina’s surface, causing the retina to pull away from the back of the eye.
The retinal vascular damage leads to scar tissue accumulation resulting in detachment of the retina.
This type of retinal detachment is not caused by any tears or holes in the retina. In this, fluid accumulates beneath the retina.
The main causes are:
Age-related macular degeneration
An inflammatory disorder that leads to the accumulation of fluid behind the retina
Injury or wound to the eye
Cancer behind the retina
Anybody with a family history of retinal detachment
A severe injury or wound in the past
If someone has been through eye surgeries such as cataract surgery
Diagnosed with eye conditions or diseases
Aging (greater risk if the person is above the age of 50)
Extreme myopia (Not able to see objects situated farther from the eye)
Diagnosed previously with retinal detachment
Diabetic Retinopathy (a diabetic complication that affects the blood vessels in the retina)
Lattice degeneration (the thinning of the retina)
Retinoschisis (the separation of the retina into two layers)
Posterior vitreous detachment (gel-like material in the center of the eye pulls or separates away from the retina)
This condition is diagnosed through an eye exam. The eye specialist will use dilated eye exam to check the retina. Initially, eye drops are put in the eyes. These drops dilate the pupils or widen them. The doctor will be able to get a close look after a few minutes.
The eye specialist or ophthalmologist may prescribe other tests after the dilated eye exam. These tests are non-invasive and painless. They help the doctors provide more detail and information for the further course of treatment. Some of the tests which are mostly recommended are:
In minor cases of retinal detachment or tears of the retina, a simple procedure in the eye specialist’s office may suffice. But, in most cases, surgery becomes a necessity to repair the detached retina.
Laser surgery (photocoagulation) and freezing (cryopexy) are the most usual treatment options for the tears in the retina.
In case, a larger part of the retina is detached, doctors usually recommend Retinal Detachment Surgery to move the retina back in place.
The three most typically prescribed surgeries are retinopexy, scleral buckling, and vitrectomy.
Medical professionals conduct this procedure to mend minor detachments. The doctor may perform it in the office itself. Firstly, the doctor uses medicine to numb the eyes to reduce or diminish discomfort. The steps thereafter are:
They use a tiny needle to extract a small amount of fluid.
Formation of petite bubbles in the eye by injecting a small amount of air.
Lastly, the doctor waits for the retina to shift back into place and repairs any holes or tears with laser surgery or freezing.
The air bubble in the eye won’t cause any problems and will dissipate naturally over time. However, after the surgery, it’s advisable to take certain precautions to ensure the eye fully heals.
To minimize strain on the body, experts recommend avoiding activities such as engaging in vigorous exercise, lifting heavy objects, or traveling by air for a short period. The patient needs to keep following up with the doctor to make sure the eye is healing correctly.
In more severe cases of retinal detachment, doctors perform scleral bulking. The doctor will typically give the patients anesthesia for this surgery so they can sleep and do not feel any discomfort during the entire procedure. Next:
The doctor will place a small and flexible band around the sclera (white portion of the eye).
The band then pushes the sides of the eye and toward the retina so it will reattach.
The band remains permanently after the surgery.
Lastly, to repair any holes or tears, laser surgery or freezing might be provided.
The retinal detachment surgery is very simple and not painful, so the doctor may discharge the patient the same day. Although, due to the induced anesthesia, someone might have to drive the patient home.
Wearing an eye patch for at least a day after surgery.
Avoidance of heavy lifting or intense exercise.
Follow-ups with the eye specialist.
An eye surgery for retinal detachment, suitable for larger tears, typically takes place in an outpatient surgery center. The patient will be under anesthesia to proceed through the following steps:
The doctor will make a small incision in the sclera of the eye.
Insert a microscope to examine the eye’s interior.
Next, the doctor will correct abnormalities, such as scar tissue or vitreous.
Inject a gas bubble concurrently to reposition the retina.
Finally, perform freezing or laser treatment to mend tears or holes.
After the surgery, the patient may experience slight discomfort and should refrain from vigorous exercise.
Getting eye dilation exams regularly
Wearing a protective eye shield while playing sports
Controlling levels of blood sugar
These conditions might worsen the normal functioning of the eye and may result in severe consequences. But, don’t worry if you have such conditions. At ASG Eye Hospitals, we take pride in providing the best solutions for eye care to people irrespective of their awareness, knowledge, and financial levels. The most optimal retinal detachment surgery at ASG encompasses state-of-the-art equipment and highly experienced doctors.
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