Our Summary

This study looked at the outcomes of surgery for a specific type of retinal detachment (a serious eye condition) that can occur after certain types of eye injections. The researchers studied cases from two eye clinics in Europe and found that the surgery was successful in reattaching the retina in the majority of cases. However, the final vision outcome was often poor, due to other underlying eye conditions. They also found that certain types of injections, particularly one called DEX, were associated with a higher rate of this type of retinal detachment, as well as other complications. The time between the injection and the detachment, the patient’s age, and the number of previous injections didn’t seem to make a difference in whether these complications occurred.

FAQs

  1. What is the success rate of the surgery for retinal detachment that occurs after certain types of eye injections?
  2. What factors were found to not affect the occurrence of complications in retinal detachment surgery?
  3. What type of injections were associated with a higher rate of this type of retinal detachment and other complications?

Doctor’s Tip

A helpful tip a doctor might tell a patient about retinal detachment surgery is to follow all post-operative instructions carefully to ensure the best possible outcome. This may include keeping the eye clean, using prescribed eye drops, avoiding strenuous activities, and attending follow-up appointments as scheduled. It is also important to report any new or worsening symptoms, such as sudden vision changes or increased eye pain, to your doctor promptly. adhering to these guidelines can help to maximize the success of the surgery and promote proper healing of the eye.

Suitable For

Patients who are typically recommended retinal detachment surgery are those with a diagnosis of retinal detachment, which is a medical emergency that requires immediate treatment to prevent permanent vision loss. This includes patients who have experienced sudden flashes of light, floaters in their vision, or a curtain-like shadow over their field of vision. Patients who have undergone certain types of eye injections, such as DEX injections, and subsequently develop retinal detachment may also be recommended for surgery. Additionally, patients with other underlying eye conditions that increase their risk of retinal detachment, such as high myopia or a history of eye trauma, may also be candidates for surgery. It is important for patients to consult with their ophthalmologist for a comprehensive evaluation and treatment plan tailored to their specific condition.

Timeline

Before retinal detachment surgery:

  1. Patient may experience symptoms such as floaters, flashes of light, or a sudden decrease in vision.
  2. Patient will undergo a comprehensive eye examination, including a dilated eye exam, to diagnose the retinal detachment.
  3. Patient may undergo imaging tests, such as ultrasound or optical coherence tomography, to determine the extent of the detachment.
  4. Patient will be informed of the need for surgery to reattach the retina and prevent further vision loss.

After retinal detachment surgery:

  1. Patient will undergo the surgical procedure to reattach the retina, which may involve using a gas bubble or silicone oil to support the reattachment.
  2. Patient will need to follow post-operative care instructions, which may include positioning the head in a certain way to help the gas bubble or oil support the retina.
  3. Patient will have follow-up appointments with their ophthalmologist to monitor the healing process and assess vision improvement.
  4. Patient may experience some temporary vision changes or discomfort after surgery, which should improve over time.
  5. Patient may need additional treatments or surgeries if complications arise or if the retina does not fully reattach.
  6. Patient’s vision may improve over time, but some degree of vision loss may be permanent depending on the severity of the detachment and any underlying eye conditions.

What to Ask Your Doctor

  1. What are the risks and potential complications associated with retinal detachment surgery?
  2. What is the success rate of retinal detachment surgery in reattaching the retina?
  3. What is the expected recovery time after retinal detachment surgery?
  4. How will my vision be affected following retinal detachment surgery?
  5. Are there any alternative treatment options to consider for retinal detachment?
  6. Will I need further follow-up appointments or treatments after retinal detachment surgery?
  7. What specific steps should I take to care for my eye following retinal detachment surgery?
  8. How soon after the injection did the retinal detachment occur in the cases studied?
  9. Are there any specific precautions I should take to prevent complications following retinal detachment surgery?
  10. How often should I have my eyes monitored after retinal detachment surgery to check for any signs of recurrence or other complications?

Reference

Authors: Vounotrypidis E, Freissinger S, Cereda M, Monteduro D, Kortuem K, Priglinger S, Mayer B, Wolf A. Journal: Graefes Arch Clin Exp Ophthalmol. 2021 Dec;259(12):3655-3664. doi: 10.1007/s00417-021-05261-6. Epub 2021 Jul 3. PMID: 34216254