Our Summary
This paper is about improving a method for fixing a detached retina, a condition where the light-sensitive tissue at the back of the eye separates from its normal position. The previous method had serious complications after the operation.
So, the researchers made four major changes: they replaced a technique called diathermy (using heat to destroy abnormal cells) with cryosurgery (using extreme cold to do the same), they swapped a material called polyviol plombe for a silicone sponge, they defined eight rules for finding the break in a detached retina or in an eye that needs another operation, and they observed the results over a 15-year period.
The results showed that this improved method for repairing a detached retina works really well in the long term and doesn’t have the serious complications that the older method had.
FAQs
- What complications arose from the non-drainage segmental buckling procedure by Custodis for repair of retinal detachment?
- What changes were made to the original technique to minimize complications in retinal detachment surgery?
- What were the long-term results and benefits of the minimal extraocular surgery for retinal detachment repair?
Doctor’s Tip
One helpful tip a doctor might tell a patient about retinal detachment surgery is to follow all postoperative instructions carefully, including avoiding strenuous activities and getting plenty of rest to allow the eye to heal properly. Additionally, it is important to attend all follow-up appointments to ensure the best possible outcome and to address any concerns or complications promptly.
Suitable For
Patients who are typically recommended retinal detachment surgery include those with primary retinal detachments, recurrent retinal detachments, or complex retinal detachments that are not amenable to other treatment options such as laser or cryotherapy. Additionally, patients with symptoms such as sudden onset of floaters, flashes of light, or a curtain-like shadow over part of their visual field may also be recommended for retinal detachment surgery. It is important for patients to seek prompt medical attention if they experience any of these symptoms, as early detection and treatment of retinal detachment can help prevent permanent vision loss.
Timeline
Before retinal detachment surgery:
- Patient may experience symptoms such as floaters, flashes of light, or a curtain-like shadow over their vision
- Patient undergoes a comprehensive eye examination, including a dilated eye exam and imaging tests to confirm the diagnosis of retinal detachment
- Surgical options are discussed with the patient, including the risks and benefits of each procedure
After retinal detachment surgery:
- Patient undergoes the surgical procedure to repair the detached retina, which may involve techniques such as segmental buckling or vitrectomy
- Patient may experience some discomfort and blurry vision immediately after surgery
- Patient will have regular follow-up appointments with their ophthalmologist to monitor the healing process and ensure the retina remains attached
- Over time, the patient’s vision may improve as the retina heals and visual acuity is restored
What to Ask Your Doctor
What is the success rate of retinal detachment surgery?
What are the potential risks and complications associated with the surgery?
How long is the recovery period after retinal detachment surgery?
Will I need to undergo any additional procedures or treatments after the surgery?
How soon after the surgery will I be able to resume normal activities?
What are the chances of the detachment reoccurring after surgery?
What can I do to help prevent future retinal detachments?
Will I need to follow up with regular eye exams after the surgery?
Are there any specific lifestyle changes or precautions I should take post-surgery?
Are there any alternative treatments or surgical options available for my specific case of retinal detachment?
Reference
Authors: Kreissig I. Journal: Eye (Lond). 2020 Feb;34(2):285-289. doi: 10.1038/s41433-019-0683-9. Epub 2019 Nov 18. PMID: 31740803