Treatment methods for retinal detachment

Written by Li Zhuo
Ophthalmology
Updated on September 16, 2024
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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 Li Zhuo
Ophthalmology
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When is the second surgery for retinal detachment?

The question you asked is about when the second surgery for retinal detachment should take place, which implies that the first surgery for retinal detachment failed, necessitating a second surgery. Due to the proliferation of the retina, which generally peaks around two to three weeks, it is recommended that if the first surgery fails, the second surgery should be conducted about 10-14 days after the first surgery, which is about half a month later. This timing can help reduce the failure rate of the surgery and avoid the peak proliferation period of the retina.

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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.

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Written by Li Zhen Dong
Ophthalmology
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Does nearsightedness imaging fall in front of or behind the retina?

The image in a nearsighted eye forms in front of the retina, whereas in farsighted eyes, the image forms behind the retina. Nearsightedness means seeing clearly up close but blurry at a distance. When nearsighted, appropriate measures such as pupil dilation, optometric examination, and corrective lenses should be taken, or orthokeratology may be used. Once the degree stabilizes and no further progression occurs, surgical treatment can be considered after the age of 18. When the eye is unaccommodative, and parallel light rays enter, they focus in front of the retina. After these occurrences, with proactive treatment and proper rest, efforts should be made to prevent further increase in the degree. Especially in children, attention should also be paid to the development of strabismus and amblyopia.

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Written by Zheng Xin
Ophthalmology
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What does a detached retina feel like?

The professional term for retinal detachment is "retinal detachment." It primarily refers to the separation between the neuroepithelial layer and the pigment epithelial layer of the retina. Early manifestations of retinal detachment may include mild vision loss, accompanied by floaters, flashes of light, or a shadow that obscures vision. As the condition progresses, symptoms gradually worsen, and when the macular area of the retina is involved, significant vision loss occurs.

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Written by Zheng Xin
Ophthalmology
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Does retinal detachment cause eye pain?

Retinal detachment refers to the separation between the neural epithelial layer and the pigment epithelial layer of the retina at the back of the eye. Its main symptoms include flashes of light, blurry vision, and visual obstruction. It is characterized by a painless, sudden decrease in vision. Therefore, patients experiencing retinal detachment will notice flashes of light and a rapid decrease in vision prior to the condition developing, without feeling pain, thus there is no pain associated with retinal detachment.