If you have had a retinal detachment in one eye, it is important to be aware of these symptoms so you can monitor the other eye. Light flashes – Occurring in one or both eyesĭark curtain across vision – Occurring on the sides or central portion of your vision Sudden onset of floaters – New dark spots appear across your vision Sudden blurry vision – Inability to see details clearly If you notice any of the following symptoms of a retinal detachment, contact a doctor immediately: A retinal detachment at the macula can lead to severe vision loss. It has a very high concentration of photoreceptor cells and provides detailed vision and much of your color vision. The macula - the central part of the retina - is especially vulnerable to damage from a retinal detachment. The longer the retina goes without nourishment, the worse the visual outcome. When this retinal layer peels away from the choroid during a detachment, it is starved of oxygen and nutrients. It is supplied with oxygen and nutrients by a network of blood vessels underneath, called the choroid. This layer lies on the outer one-third of the retina. The retina contains a layer of specialized photoreceptor cells that change light into visual signals received by the brain. The most common type of retinal detachment, a rhegmatogenous retinal detachment, occurs when fluid gets underneath the retina due to a hole or tear and causes it to detach. Doctors often describe this as wallpaper peeling off. What is a retinal detachment?Ī retinal detachment occurs when the outer layer of the retina peels away from the nourishing tissue underneath. This is why a retinal detachment is a medical emergency. Scleral buckling and other treatments have a higher rate of success when the time between retinal detachment and treatment is as short as possible. If your physician recommends a scleral buckle, it is because this procedure will give you the highest chances of recovering and maintaining your vision after a detached retina. Once applied, a scleral buckle wraps around the eye to help reattach the retina and keep it attached. When the retinal detachment is more extensive, a scleral buckle may be needed to support the retina from outside the eyeball. Another in-office option is pneumatic retinopexy, the injection of a gas bubble to provide light pressure against the retina. If a patient is not having symptoms and the detachment is small, the doctor may treat with a laser to help reattach the retina. Some procedures can be done in the office, while other treatments, such as scleral buckling or vitrectomy, require an operating room. The treatment will depend on the severity of the retinal detachment and the patient’s symptoms. If a detachment is detected, they will recommend the appropriate procedure to reattach the retina. If someone is experiencing symptoms that indicate a possible retinal detachment, an eye doctor will perform a comprehensive eye exam. The goal of repairing a detached retina is to recover as much vision as possible. When the retina detaches, it can lead to profound vision loss. Scleral buckling is a treatment eye surgeons sometimes use to repair a detached retina. However, it is still considered an important treatment option for some cases of retinal detachment. As new procedures have emerged, it is not as common as it used to be. Ophthalmologists have successfully performed this eye surgery for over 50 years. Cryopexy (freezing) may also be performed during scleral buckle surgery to help seal retinal holes or tears and reattach the retina. This includes vitrectomy, which removes and replaces the gel-like substance inside the eye to decrease traction on the retina. Scleral buckle surgery may be performed in combination with other procedures to repair a retinal detachment. Some discomfort may be present the first few days after the surgery, but pain medication will be prescribed to help with discomfort. It is performed in an operating room and can require several weeks to fully recover. The retina successfully reattaches in about 90% of patients who have scleral buckle surgery. It wraps around the eyeball like a belt, supporting the retina. A scleral buckle is a surgery that places a permanent silicone band around the eye to help return the retina - a thin layer of tissue located in the back of the eye - into position after a retinal detachment.
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