How many days does retinal detachment surgery take?

Written by Li Zhuo
Ophthalmology
Updated on September 01, 2024
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Retinal detachment surgery is divided into internal and external approaches. Generally, the surgery takes about one to two hours, or two to three hours.

One method involves compressing from the outside of the eardrum, pushing the eardrum inward to reattach the retina, while the other involves operating from inside the vitreous body outward to adhere the retina to the choroid. The recovery time for these surgeries generally reaches a stable condition from one to three months. The duration of the surgery depends on the complexity of the condition; it can be as quick as just over half an hour in simple cases, or up to two to three hours in complex cases. Postoperative vision recovery primarily depends on the duration and morphology of the retinal detachment, as well as the proliferation conditions of the detached retina and the vitreous body.

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Written by Li Zhuo
Ophthalmology
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Treatment methods for retinal detachment

Retinal detachment surgery primarily refers to the treatment of rhegmatogenous retinal detachment. There are two methods of treatment: one is external surgery, also known as scleral buckling. This involves using a compressive object to indent the sclera to support the choroid, and then employing cryotherapy to create a sterile adhesion between the choroid and the retina, thus treating the retinal detachment. Another method is internal surgery, also known as vitreoretinal surgery. This procedure involves making three incisions in the flat part of the sclera, removing the vitreous from the inside, flattening the retina with heavy water, and using a laser to create a sterile adhesion between the retina and the choroid. Currently, the surgical treatment for retinal detachment consists of these two approaches: internal and external surgeries.

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Written by Wang Hui Zhen
Ophthalmology
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Is retinal detachment a minor surgery?

Retinal detachment surgery is considered major surgery in ophthalmology, where retinal detachment refers to the separation of the retinal neuroepithelium from the pigment epithelium. There are many surgical methods for retinal detachment, including external scleral buckling, internal vitrectomy, gas injection into the vitreous, and the use of silicone oil, among others. Generally, internal procedures carry a greater risk than external ones. Retinal detachments can be categorized into rhegmatogenous retinal detachment and non-rhegmatogenous retinal detachment. Rhegmatogenous retinal detachment usually requires surgical treatment and is commonly seen in cases of high myopia, artificial intraocular lenses, aphakia, and ocular trauma that cause retinal detachment. Non-rhegmatogenous retinal detachment can be divided into tractional retinal detachment and exudative retinal detachment. Tractional retinal detachment often requires surgical treatment, whereas exudative retinal detachment usually does not require surgery.

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Written by Li Zhen Dong
Ophthalmology
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Can a retinal detachment be treated after one year?

If retinal detachment is discovered or diagnosed only after a year, the effectiveness of surgical treatment tends to be poorer. However, if there is no eyeball atrophy, no corneal, lens, or vitreous abnormalities at this time, surgery to reposition the retina can still be considered first, followed by assessment of vision recovery. Additionally, an ophthalmic examination should be conducted, including tests like uncorrected visual acuity, corrected visual acuity, intraocular pressure, ocular B-ultrasound, and fundus photography, to decide and predict the outcome of the surgery and post-operative conditions. Nevertheless, even if a year has passed since the retinal detachment occurred, active treatment should still be pursued, and one should not give up.

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Written by Li Zhen Dong
Ophthalmology
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Does retinal detachment cause eye pain?

After retinal detachment, there is usually no pain in the eye. Symptoms include low ocular pressure, blurred vision, and visual field defects, which means seeing things partially or missing a half. In such cases, it is important to actively seek an ophthalmological examination. This includes checking the uncorrected visual acuity, corrected visual acuity, intraocular pressure, eye ultrasound, and fundus photography. Once diagnosed, it is crucial to undergo surgery as soon as possible. The earlier the surgery is performed, the better the potential recovery of vision. Generally, there is a high possibility of restoring vision after surgery.

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Written by Li Zhen Dong
Ophthalmology
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Can you swim after retinal detachment surgery with a lens implant?

Retinal detachment and having an implanted lens means you cannot swim, and if you wish to swim, it must be at least six months later. There are generally two types of surgeries for retinal detachment: vitrectomy with retinal repositioning, and scleral buckling. If a lens has been implanted, it means the natural lens was removed and replaced with an artificial lens. Therefore, after surgery, it is important to rest properly, maintain correct posture, attend timely follow-up appointments, monitor visual recovery and eye pressure, and use eye drops as prescribed.