In Retinal detachment surgery which is better inside or outside? Which is less painful? Please urgently help. Please help the procedure what is outside and inside method of surgery.
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The decision is taken based on where the retinal tear is and how extensive. outside method means a sclera buckle is applied to press on the eye and appose retina to its underlying tissue so that it reattaches. inside method is to enter eye...remove some vitreous jelly .. drain fluid which has accumulated beneath retina...do laser to seal break and apply a tamponade ( gas or silicon oil ) to press retina to underlying tissue so that retina remains attached. The doctor will talk about pros and cons of both surgery. Decide on that basis and not on how painful the procedure will be.
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Both methods of surgery are equally good and usually dependent on surgeon's choice of same. So call "Outside" method I presume to be scleral buckling is very effective method and if surgeon feels confident of success of the procedure then usually has very good results. The "inside" method is called vitrectomy which involves high end machinery to be used and theoretically may even cater to cases which might not be amenable to buckling. Both method are painless as they are performed under anesthesia. My sincere advice would be to go with procedure which your operating surgeon feels is better for you as both methods have their own advantages and disadvantages which might change depending upon status of one's disease.
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You doctor has to decide which is good for you, you are already late for surgery, to get better result it should be operated in first 24-48 hours.
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