![]() Posturing involves placing your head in a specific position to allow the gas or oil bubble to float into the best position to support the retina. With a gas or oil bubble in the eye your surgeon may ask you to posture after the operation for up to 10 days. The buckle is not visible on the outside of the eye and usually remains in place permanently. This acts as a ‘splint’ and produces a dent within the eye and pushes the outer wall of the eye up to the hole in the retina. The retinal holes can also be sealed and supported by stitching a piece of silicone rubber or sponge to the outside of the eye. To use the gas or oil bubble to its best effect your surgeon may ask you to posture and this will be covered in a following section. Your vision will be very blurred initially due to the presence of the gas or oil bubble. A gas bubble slowly absorbs over 2 to 8 weeks but a silicone oil bubble will need a small operation to remove it at a later date. A gas or silicone oil bubble is then inserted into the eye to support the retina while it heals. Then to seal the tear the surgeon uses either laser or a freezing probe to make a scar around the tear. VitrectomyĪ vitrectomy involves removing the vitreous gel (that has caused the retinal tear) from inside the eye. The two methods used in retinal detachment surgery are vitrectomy or scleral buckle or a combination of the two. The treatment involves surgery and the main aim of surgery is to seal holes in the retina and reattach the retina. What is the treatment for retinal detachment? Some types of retinal detachments can run in families but these are rare. These include people who are short sighted, those who have had cataract surgery in the past and those who have suffered a severe direct blow to the eye. Most retinal detachments occur as a natural ageing process in the eye but certain people are at higher risk than others. ![]() In most cases the retina detaches because a hole or a tear has formed in the retina allowing fluid to pass underneath the retina. The retina is the light sensitive film at the back of the eye and retinal detachment is a condition where the retina peels away from the inner wall of the eye. Your Texas Retina Associates surgeon will determine the best treatment plan for you.Ĭlick here to watch a video about scleral buckle surgery for retinal detachment.Retinal Detachment What is a retinal detachment? Other retinal detachment treatments include a less invasive procedure called pneumatic retinopexy as well as vitrectomy surgery. Some patients require more than one surgery to reattach the retina. Any new floaters or flashes of light in your field of vision.You may also need to wear an eye patch for a day or two.Ĭall your physician if you experience any of the following after your scleral buckle surgery: Your doctor may have you use antibiotic eye drops to help prevent infection. In addition, your eye may be red, tender or swollen for a few weeks. You may experience some pain and blurry vision for a few days. You will need to arrange for someone to drive you home after your surgery. The surgeon may also use a laser (photocoagulation) or freezing therapy (cryopexy) to create scar tissue that will seal off the areas of the retina that are torn to prevent further fluid leakage. In addition, eye drops will be applied to dilate your pupils.Ī superficial incision is then made to open the conjunctiva to expose the sclera, and your Texas Retina Associates surgeon will place the scleral buckle. Your retina surgeon will determine whether to give you local or general anesthesia depending on your specific case. Scleral buckle surgery is usually performed as an outpatient procedure, meaning you go home the same day. It is typically left on the eye permanently. The scleral buckle helps to correct the retinal detachment by pressing the eye wall inward, keeping the separated areas together and allowing the retina to reattach to the eye’s interior wall. The band is sewn to the sclera and is not visible after surgery. Today, with modern techniques, scleral buckles are much less commonly used than they were 20 years ago, but in some circumstances, they are very effective as a stand alone surgery or in combination with a vitrectomy.ĭuring a buckle procedure, your retina surgeon will place a small silicone band or sponge around the sclera, the outside part of your eyeball. This surgery typically takes place in an operating room, using either local or general anesthesia. Placement of a scleral buckle is a surgical approach to correct a detached retina, a potentially blinding condition in which fluid gets under the retina and lifts it away from the back of the eye.
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