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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Retinal detachment refers to the condition where the retina pulls away from its normal position.

The structure of the human eye consists of three layers: the sclera, the choroid, and the retina. Retinal detachment is not actually a separation between the retina and the choroid, but rather a separation between the neural epithelial layer and the pigment epithelial layer of the retina, which means it is a detachment between the inner nine layers and the outermost layer of the retina. Retinal detachment can be classified into three types: rhegmatogenous retinal detachment, which is mainly caused by a tear in the retina allowing the vitreous fluid to enter the subretinal space; tractional retinal detachment, which occurs due to vitreous and retinal proliferation exerting traction on the retina, commonly seen in diabetic retinal detachment; and exudative retinal detachment, which is caused by accumulation of fluid between layers due to abnormal choroiditis.

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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 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 Zheng Xin
Ophthalmology
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Can retinal detachment heal by itself?

Retinal detachment refers to the separation between the neural epithelial layer and the pigment epithelial layer of the retina. Based on its cause, it can be categorized into rhegmatogenous retinal detachment, tractional retinal detachment, and exudative retinal detachment. Rhegmatogenous retinal detachment requires repositioning of the retina and closure of the break. If it is tractional retinal detachment, it is necessary to remove the cause, generally requiring vitrectomy and retinal reposition surgery. Exudative retinal detachment generally occurs due to inflammation or other irritations causing exudation or bleeding in the retina, resulting in detachment, typically without retinal breaks. This type of retinal detachment only requires treatment for the underlying disease, and aggressive treatment of the primary disease can generally lead to a cure. Therefore, retinal detachment must be treated; it cannot heal on its own.