![]() ![]() The platform’s dual-blade cutters enable me to remove vitreous efficiently and with control even in areas with mobile retina. I use the Stellaris Elite (Bausch + Lomb) in the OR. SURGERYĪfter discussion, the patient elected to undergo surgical repair with 23-gauge vitrectomy with scleral buckling. The tear extended from approximately 12:30 o’clock to 4:00 o’clock. The posterior segment examination showed posterior vitreous separation and a macula-off rhegmatogenous retinal detachment (Figure 1). This patient had a superotemporal GRT with a macula-off detachment. On examination, he had counting fingers VA with a mild nuclear cataract.įigure 1. He had moderate myopia with no other personal or family ocular history, and he reported no ocular trauma. PRESENTATIONĪ 58-year-old phakic man presented with a 2-week history of flashes and floaters and a 4-day history of progressive vision loss in the right eye. This is for several reasons: They are relatively uncommon, there is no single best way to manage these eyes, and they can develop certain postoperative complications that can be challenging to manage and are best avoided. Retinal detachments associated with giant retinal tears (GRTs), however, are more challenging. Retinal detachment repair is a mainstay of what we do as retina surgeons, and such repairs generally have good surgical outcomes. Postoperative retinal folds in the midperiphery are not a big deal, but folds in the macula must be managed surgically.Buckling can be helpful for GRT-associated detachments, particularly if they extend 4 clock hours or less.Retinal detachments associated with giant retinal tears (GRTs) are challenging for several reasons: They are relatively uncommon, there is not one best way to manage them, and they can develop difficult postoperative complications.We will make an appointment for you to see your doctor again, usually within seven to 14 days of your operation. In most cases, your eye will take about two to six weeks to heal. ![]() ![]() Any discomfort should ease after one to two days. Occasionally, the area surrounding your eyes can become slightly bruised – this is especially common after a scleral buckle procedure. It is also common for some fluid to leak from around your eye. If you have severe pain that persists, you must call your consultant ophthalmologist. It is normal to feel itching, and have sticky eyelids and mild discomfort in the operated eye for five to ten days following retinal detachment surgery. Please don’t rub your eye as this may increase infection and lead to complications.If you experience discomfort, we suggest that you take a pain reliever, such as paracetamol – take care not to exceed the dose stated on the packaging. Your consultant ophthalmologist will give you eye drops to reduce any inflammation and to prevent infection. In each of the following methods, your ophthalmologist will locate the retinal tears and use laser surgery or cryotherapy to seal the tear. The method for fixing retinal detachment depends on the characteristics of the detachment. Otherwise, the retina will lose the ability to function, possibly permanently, and blindness can result. If the retina is detached, a procedure called a vitrectomy may be required in addition to laser and/or cryotherapy.Ĭertain symptoms may indicate retinal detachment which, these include the onset of new floaters, loss of vision a shadow or curtain of visual loss, visual distortion, flashes and floaters, blurred vision and / or patchy vision.Īlmost all patients with retinal detachments must have surgery to place the retina back in its proper position. This may take the form of a simple laser procedure or freezing (cryotherapy) if caught early enough. The only way to repair the retina is by an operation to find and seal any holes. The retina cannot work when it is detached. If a hole appears in the retina it will detach rather like wallpaper peeling off a wall. The retina is the lining of the back of the eye, which allows the eye to see. Vitreolysis Laser Treatment of Floaters.CAIRS – Corneal Allograft Intrastromal Rings. ![]()
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