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Overview

Retinal Detachment: Treatment, Cost and Side Effects

What is the Retinal Detachment? How is the Retinal Detachment treatment done? Who is eligible for the treatment? (When is the treatment done?) Who is not eligible for the treatment? Are there any side effects? What are the post-treatment guidelines? How long does it take to recover? What is the price of the treatment in India? Are the results of the treatment permanent? What are the alternatives to the treatment?

What is the Retinal Detachment?

Retinal detachment is a serious eye problem which can cause permanent blindness if not treated immediately. This condition occurs when your retina, which is a layer of tissue that processes light, gets pulled away. If the retina of your eye gets torn, the fluid of the eye can leak from underneath and cause the retina to separate from the underlying tissue. People who are severely nearsighted or have an eye injury are prone to having the condition. Other than that, people who have high levels of myopia in their eyes, have had cataract surgery or have a family history of retinal detachment are also likely to have the condition.

In order to get the condition fixed, the doctor may perform an eye exam and use an eye drop to expand the pupil to look for the problem. Early diagnosis is the key to preventing a complete vision loss. A simple laser surgery can be helpful if the problem is detected early. A serious surgery can be required if the condition becomes severe. Another exam called ultrasound imaging can be performed in case of bleeding which makes it difficult to see the retina.

How is the Retinal Detachment treatment done?

Retinal detachment is diagnosed when you see flashes of light abruptly, without any former indication towards a problem. Doctors may use eye drops to dilate your pupil and clearly examine the retina. In case of bleeding in the eyes which clouds the retina, an ultrasound imaging may be suggested by the doctors. Several options are available for treating the condition before any permanent damage. Thermal or cryopexy which is a freezing treatment can both be used to repair the tear when the condition is detected early. This simple procedure can be carried out in the doctor’s office itself. In case of a small tear which is easy to close, pneumatic retinopexy is selected. This procedure allows the doctors to inject a tiny gas bubble in the vitreous which rises and presses against the retina thereby closing the tear.

Scleral buckle is another procedure which lets the doctor to sew a silicone band around the white of the eye. The band pushes it towards the towards until it completely heals. The band cannot be taken out as it is invisible and permanently attached. Vitrectomy can also be used to treat larger tears. The doctor replaces the vitreous with a saline solution. Depending on the size of the tear, the doctor may use a combination of buckle, laser, gas bubble and vitrectomy to repair the retina.

Who is eligible for the treatment? (When is the treatment done?)

Individuals who show symptoms of seeing flashes of light, darkening of the peripheral vision and seeing lots of new floaters or threads should get themselves checked for retinal detachment instantly. This condition can become severe is no time as the condition develops abruptly without any warning signs. Other people who are at a risk of developing the condition are ones who have gone through a cataract surgery, are severely nearsighted and have a family history of retinal detachment.

Who is not eligible for the treatment?

Any individual who does not have problems with nearsightedness, has gone through a cataract surgery or any kind of eye injury are not under the threat of having the condition. Any individual who does not show symptoms of having vision problems is not eligible for the treatment.

Are there any side effects?

For surgeries like pneumatic retinopexy complications like inadvertent scleral perforation can emerge. For other surgeries like sclera buckle, other complications might develop. Problems like detachment of the eye layer beneath the retina, risk of developing cataracts and increased nearsightedness are some of the complications which come along with this surgical procedure.

What are the post-treatment guidelines?

Doctors will suggest the patients to wear sunglasses during the day after the surgery. You might even have to wear an eye patch for a few days. You will be advised to keep your hand on the operated eye for a week to three after the operation if the doctor did use a gas bubble to hold the retina in place.

How long does it take to recover?

The patients need at least a month to recover from the surgery. You need to take extensive care of your eyes after the surgery. Taking the eye drops and medications as prescribed by the doctors for a certain period is also mandatory to be completely cured.

What is the price of the treatment in India?

A surgery for retinal detachment can cost up to Rs 50,000 to Rs 70,000. The price depends on the medical facility and the complexity of the surgery.

Are the results of the treatment permanent?

Once the patient gets the retinal detachment surgery, the results are mostly permanent. However, in certain cases, the patients might need a second operation as well.

What are the alternatives to the treatment?

The best way to treat the problem of retinal detachment is through the aforementioned surgeries. However certain herbs and nutrient are also suggested as alternative treatment. You can use herbs like pycnogenol, bilberry and chamomile can help as alternative treatment to the condition.

Popular Questions & Answers

My mother’s age is approximately 70 years at present, she is patient of diabetes and high blood. Pressure ever since she was of the age of 45 years (no medication at that time was given to her for b.p and diabetes), but she was diagnosed for both these diseases in year 2011 only, when she felt pain in heart region and in the left hand side in the back. She was diagnosed for two artery blockages i.e for 95% and 60% in angiography. An stunt was put to clear the 95% blockage. The medicine for high b.p, diabetes, and heart started and continued since then only. She is also the patient of weak digestion approximately for the last 25 years. I.e. Her routine motion in the morning does not take place in time. It comes out hard in the beginning and becomes loose at second or third motion, which takes place at very short interval after first motion. For that norflox tz/ lomofen / metronidazole is given to her to stop the loose/ dysenteric motions. This hardening and loosening of motions process continues even now also. (she requires your treatment) she is also the patient of gall bladder stone (approximately 22 mm). Which normally remain silent but she requires your treatment. Since the month of january 2020 she was again having the symptoms of heart attack (diagnosed in trop t test for heart at king george medical college lucknow). Doctors at king george medical college lucknow advised for angiography but due to weak condition of patient we requested to conduct the same after holi festival in march 2020. So to prevent any heart attack risk the medicines were increased by the doctor. I.e. Earlier since the year 2011 (after stunting in artery) she was taking the allopathic medicine for high blood pressure, diabetes and ecosprin for heart. This heavy medication has made her weak further and her eyesight has become very weak i.e almost blurred (she requires your treatment. Here it is pertinent to mention that new lenses have already been put in her eyes after the cataract surgery 10 to 15 years back. Since april 2020 we started homeopathic medicine tonicard, and after seeing your you tube video we also started arnica montana q, crataegus oxyacantha q, terminale arjuna q. All the three mother tinctures, as medicines for her heart blockage disease, so that at the time of her next trip t test she would become free from any heart blockage. She is feeling also better i.e. Less pain in heart region, with these medicines. (she requires your treatment) she is also the patient of trembling hands, i.e. When she holds anything in her hands, her hands start shaking/ trembling and goods fall from her hands. 7 years back her brain mri revealed some blood clotting in her brain, expectedly due to her undiagnosed increased sugar level (due to no medicine) in the age of 45 to 60 years. (she requires your treatment). Kindly provide treatment for her extreme weakness also. Her knees are so week that she can not sit and stand up on her own, so she passes her stool and urine, in almost standing position. (she requires your treatment).

M.B.,B.S.,, Dip., Dia.
Diabetologist, Chennai
From your statement it is clear that she is suffering from heart and neuro problem because of long term diabetes, high bp. She needs a private consultation for complete assessment and medication to prevent further problems.

1) my age is 63 years and I am diagnosed with cataract and suggested operation but I am very fear and timid to undergo operation as I am heart patient with diabetes high bp etc and my question is there any way to cure cataract without operation please respond? 2) my age is 63 years and I have diabetes since 1 year am using glycomet 250 mg twice a day now my question is english medicine or homeo medicine is best for diabetes?

MS - Ophthalmology, DNB Ophtalmology, Advanced Training Fellowship in Refractive Surgery & Cornea
Ophthalmologist, Mumbai
No treatment for cataract except surgery. Early cases cud be corrected with change if glasses. Its safe procedure. And diabetes and heart problems can be taken care of. Precautions for a safe procedure are taken by the surgeon.

Please suggest Before performing pass surgery to remove cataract of my eyes, the surgeon is asking to stop temporarily for one-week tamsulosin hydrochloride 0.4 mg (taking daily one capsule regularly. My prostate is enlarged but urine is well controlled by taking tamsulosin hydrochloride 0.4 mg (taking daily one capsule regularly). Will it be harmful if I stop temporarily for one week? Your information will be highly appreciable.

MS - Ophthalmology, DNB Ophtalmology, Advanced Training Fellowship in Refractive Surgery & Cornea
Ophthalmologist, Mumbai
Patients on tamsulosin are at increased surgical risk during cataract surgery. It is best to meet your treating physician (for prostate) with regards stoppage, its duration and restarting its use. your cataract surgeon has advised you rightly.

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Ophthalmology
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