![]() Vision does not typically come back all the way, but a substantial improvement often occurs. You cannot fly in an airplane while the gas is in the eye because high altitudes can cause expansion of the gas which may damage the eye.įortunately, surgery is typically very successful in achieving hole closure and subsequently improving vision. There are special chairs and face rests available to help you maintain this position. The patient must maintain face down position for several days after the surgery in order to keep the gas in contact with the macula. The gel is replaced with gas and is eventually replaced with the eye’s natural fluid as the macular hole heals. During this outpatient procedure, the vitreous gel is removed from the eye with tiny instruments. The most effective treatment for macular hole is vitrectomy surgery. Optical Coherence Tomography (OCT) is a state of the art, non-invasive test done in the office which can demonstrate the macula and any associated hole with great precision. Fluorescein angiography can assess the health of the macula. As retinal specialists, we have tests designed to diagnose the problem and determine how much it is contributing to your visual complaint. Macular holes can be detected with a dilated examination of the eyes by your ophthalmologist. Macular holes are not usually a blinding disease. Central vision is usually lost, although side vision is preserved. If a full-blown hole develops, it is unlikely to improve. The earliest form of a macular hole can actually resolve on its own approximately 50% of the time. There may be symptoms in the early phase of this pulling. As the vitreous gel in the eye undergoes changes, it can pull on the macula and pull a small hole. Macular hole is most commonly a disease of people over 50 years of age. Often, people notice the macular hole only when covering the opposite eye. The symptoms can worsen as the hole enlarges. Symptoms of a macular hole include blurry and distorted vision in the affected eye. A macular hole is an abnormal opening in the center of the macula, and it can lead to loss of central vision. Local anesthesia is used and the procedure is usually done in a surgical clinic.The macula is the central part of the retina and is responsible for detailed vision such as reading. It may require partially removing the vitreous fluid inside the eye. Local or general anesthesia will be used, and you may need to stay overnight in the hospital.Ī vitrectomy is a procedure done for serious retinal detachments. This procedure is done in a hospital, operating room, or surgery clinic. The fluid behind the detached retina will be drained, and the retina should return to its normal place in the back of the eye. During a scleral buckle a doctor will place a flexible band around the eye to counteract the force that is pulling the retina out of place. In more severe tears, a procedure called a scleral buckle may be performed. A pneumatic retinopexy can be done in an ophthalmologist’s office. The gas bubble will dissolve in a few days. A laser or cryotherapy is then used to reattach the retina firmly into place. The bubble presses against the detached retina and pushes it back into place. In this procedure, a gas bubble is injected into the eye. One method of retinal detachment repair is pneumatic retinopexy. The type of procedure your doctor preforms will depend on the severity of retinal detachment. Different types of retinal detachment require different kinds of surgery and different levels of anesthesia. A simple tear in the retina can be treated with freezing, called cryotherapy, or a laser procedure. There are several types of surgery to repair a detached retina. ![]() How is a retinal detachment repair performed? Some causes and risk factors of retinal detachment include glaucoma, severe trauma, nearsightedness, previous cataract surgery, previous retinal detachment in your other eye, or family history of retinal detachment. That tear can then pull away from the back of the eye and detach the retina. Retinal detachment can occur because the vitreous fluid of the eye (a gel-like liquid) retracts from the back of the eye, pulling the retina and tearing it. Reattaching the retina quickly is essential to prevent such a serious complication. If the macula completely detaches, you may lose your vision entirely. If the macula (central vision area) begins to loosen, your vision may be permanently damaged. This can cause permanent damage to your vision. Without a blood supply, the retinal cells will start to die. Retinal detachment occurs when the retina pulls away from the back of the eye and the blood supply. It is part of the very back of your eyeball and is essential to your vision. Your retina contains millions of cells that detect light like a camera. Your retina is the part of your eye that sends images through your optic nerve to the brain. Why is a retinal detachment repair performed? ![]()
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