Rhegmatogenous retinal detachment requires prompt treatment. Non-surgical approaches, primarily pneumatic retinopexy, use gas bubbles to reposition the retina. This works best for smaller detachments and requires patient cooperation with specific post-operative positioning. Success rates vary depending on the detachment’s size and location.
Surgery, however, is often necessary. Scleral buckling involves placing a silicone band around the eye to indent the sclera, reducing traction on the retina. This procedure frequently combines with cryotherapy or laser photocoagulation to create scar tissue and seal retinal tears.
Vitrectomy, a more invasive procedure, removes the vitreous gel, allowing surgeons direct access to the retina. During vitrectomy, retinal tears are repaired, and laser treatment or gas/silicone oil tamponade may be used to stabilize the retina. Vitrectomy often provides better outcomes for extensive detachments or those complicated by proliferative vitreoretinopathy (PVR).
Choosing the right treatment depends on several factors: the extent of the detachment, the presence of complications like PVR, patient health and personal preferences. Your ophthalmologist will discuss the risks and benefits of each option to help you make an informed decision. Early intervention is key to maximizing the chances of a successful outcome.
Post-operative care varies depending on the surgical procedure. Strict adherence to post-operative instructions is crucial for healing and minimizing the risk of complications. Follow-up appointments are scheduled to monitor recovery progress.
