Retinal detachment is a serious disorder that severely affects vision.
There are multiple causes of retinal detachment. This condition eventually causes the separation of the neurosensory retina from the pigmentary epithelium and the accumulation of fluids between both layers.
Treatment required for each case will depend on the state and degree of detachment. In the initial phases it is possible to use laser procedures to seal retinal tears before detachment occurs.
In mild cases pneumatic retinopexy may repair retinal detachment. This procedure involves the injection of a gas bubble into the eye to help the retina float back to its position and the use of a laser procedure to seal the detachment.
In serious cases it is possible to perform a vitrectomy to extract the gel that is pulling away the retina.
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Recovering vision after retinal detachment is a variable process and depends on several factors:
There are several types of retinal detachment depending on the underlying cause. Most frequently retinal detachment is the result of retinal tear, but in some cases detachment is associated with a systemic pathology or with eye inflammation without tissue damage.
Except for certain types of detachment treated with oral medication, most cases require surgery to restore the retina or contain the advance of detachment. Only those cases in which the condition is detected in its early phases (retinal tear) can be treated with outpatient laser surgery.
Retinal detachment is considered a deferred urgency, i.e., surgery must be performed as soon as possible although not necessarily at very moment of diagnosis. A team of experts in retinal pathology is essential to assess the situation.
Depending on the type of detachment and therefore on the type of surgery, the recovery position varies. The vitreous body (gel-like substance between the lens and the retina) might be replaced with gas or silicone. Your doctor will indicate the most adequate position after surgery depending on the density of substitute material and the location of retinal tear. An adequate post-surgery position is of utmost importance for optimal results.
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