Our Summary

This study looked at how effective a specific treatment was for a severe type of eye condition called retinal detachment. The treatment involved a small surgical procedure (small-gauge pars plana vitrectomy) and a technique called double filling, which uses two substances to help keep the retina in place.

The researchers reviewed medical records of patients who had this condition and received this treatment at a hospital in Italy. They looked at things like how well the patients could see after treatment and whether their retina stayed in place.

Out of the 15 patients they looked at, vision improved in half of them and stayed the same in a quarter of them. Their retina stayed in place in about 73% of cases, and 64% of these didn’t need any further treatment to keep the retina in place. However, three patients needed more surgery because their retina detached again. The most common issue after successful treatment was a condition called macular pucker, which affects the center of the retina and can distort vision.

Overall, the study suggests that this treatment is safe and can help preserve vision and keep the retina in place in patients with severe retinal detachment.

FAQs

  1. What is the treatment procedure for severe retinal detachment as per the study?
  2. What were the results of the study on effectiveness of the retinal detachment surgery?
  3. What is the most common issue after the successful treatment of retinal detachment?

Doctor’s Tip

A helpful tip a doctor might give a patient about retinal detachment surgery is to follow post-operative instructions carefully, including avoiding activities that could put strain on the eyes, such as heavy lifting or strenuous exercise. It is also important to attend follow-up appointments to monitor the healing process and address any concerns promptly. Additionally, maintaining good overall eye health through regular eye exams and healthy lifestyle habits can help prevent future complications.

Suitable For

Patients who are typically recommended retinal detachment surgery are those who have a severe case of retinal detachment, where the retina has pulled away from its normal position at the back of the eye. This condition can lead to vision loss if not treated promptly. Patients who may benefit from retinal detachment surgery include those with symptoms such as sudden flashes of light, floaters in their vision, or a curtain-like shadow over their field of vision.

Additionally, patients with certain risk factors for retinal detachment may also be recommended for surgery. These risk factors include being nearsighted, having had a previous eye injury or surgery, or having a family history of retinal detachment.

It is important for patients to consult with an ophthalmologist or retinal specialist to determine if retinal detachment surgery is the appropriate treatment option for their specific case.

Timeline

Before retinal detachment surgery:

  • Patient may experience symptoms such as sudden flashes of light, floaters in their vision, or a curtain-like shadow over their field of vision
  • Patient will undergo a comprehensive eye exam to diagnose retinal detachment
  • Patient may undergo imaging tests such as ultrasound or optical coherence tomography to determine the extent of the detachment
  • Patient may be advised to avoid strenuous activities and to keep their head in a specific position to prevent further detachment

After retinal detachment surgery:

  • Patient will have a follow-up appointment to monitor their recovery and check the status of their retina
  • Patient may experience temporary vision changes or discomfort after surgery
  • Patient will be prescribed eye drops or other medications to prevent infection and promote healing
  • Patient may be advised to avoid activities that could strain their eyes, such as heavy lifting or swimming
  • Patient will gradually regain their vision over time, with some experiencing improved vision while others may have residual vision loss
  • Patient will continue to have regular follow-up appointments to monitor their eye health and prevent future detachment episodes.

What to Ask Your Doctor

  1. What is retinal detachment and why do I need surgery for it?
  2. What are the potential risks and complications associated with retinal detachment surgery?
  3. What is the success rate of this specific surgical procedure (small-gauge pars plana vitrectomy with double filling) for retinal detachment?
  4. How long is the recovery process after retinal detachment surgery?
  5. Will I need follow-up appointments or additional treatments after the surgery?
  6. What can I expect in terms of vision improvement after the surgery?
  7. Are there any lifestyle changes or precautions I should take after retinal detachment surgery?
  8. What should I do if I experience any worsening symptoms or complications after the surgery?
  9. Are there any alternative treatments or procedures available for retinal detachment?
  10. Are there any long-term effects or risks associated with retinal detachment surgery that I should be aware of?

Reference

Authors: Zanzottera EC, Marchese A, Bandello F, Coppola M. Journal: Graefes Arch Clin Exp Ophthalmol. 2022 Apr;260(4):1105-1112. doi: 10.1007/s00417-021-05395-7. Epub 2021 Sep 22. PMID: 34550420