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Vitreo-Retinal Surgery Tips

Retinal Detachment: Symptoms and Treatment

Bharti Eye Hospitals 88% (25 ratings)
Cornea Cataract & Lasik
Ophthalmologist, Delhi
Retinal Detachment: Symptoms and Treatment

Retinal detachment is an emergency eye condition in which the retina at the back of the eye gets separated from the surrounding tissue and pulls away from its normal position. The retina acts as a light-sensitive wallpaper in the eye, providing a lining for the inside of the eye wall and sending visual signals to the brain. As the retina can't work properly under these conditions, one can permanently lose vision if the detached retina is not repaired immediately.

During the retinal detachment, the retinal cells gets separated from the layer of blood vessels which provides oxygen and nourishment. Usually, it begins in form of small torn area of retina known as retinal tears or retinal breaks. This condition, if not treated, leads to retinal detachment and finally permanent vision loss.
Retinal detachment has tell-tale warning signs like an increase in sudden appearance of floaters resembling cobwebs floating in field of vision. It can be coupled with flashes of light or curtain from any direction causing a loss of vision.

Retinal detachment is of three types. The most common form is Rhegmatogenous retinal detachment where a tear allows fluid to get under retina and prevents nourishment to reach retina from retinal pigment epithelium by separating them. In Fractional form, scar tissue on the retina's surface shrinks causing it to separate from the retinal pigment epithelium. This form is most prevalent with diabetes patients. Lastly, in case of Exudative retinal detachment, the fluid leaks into the area under retina without a tear or breaks in the retina. Retinal diseases or trauma to the eye are main causes for Exudative retinal detachment.

Although a person of any age can suffer from retinal detachment, but it is more prevalent in people over the age of 40. People suffering from degenerative myopia or lattice degeneration are more prone to this medical condition. People with family history of retinal detachment are also likely to suffer from the same.

Retinal detachment can be treated in many ways. The most common form is the Laser surgery in which small tears and hole are joined back to the retina. Another method is Cryopexy in which the area around the hole in frozen and helps reattach the retina. Both the above procedure are performed at ophthalmologist's clinic.

Sometimes, one may have to opt for Scleral buckle in which a tiny synthetic band is attached to the outside of the eyeball which gently pushes the wall of the eye in toward the centre of the eye placing the eye wall very close to the detached retina. Another option is vitrectomy surgery to replace the vitreous that fills the centre of the eye and helps the eye maintain a round shape.

A retinal detachment is an emergency medical condition and must be treated immediately to save one's vision. Most people have been successfully treated for retinal detachment, but ophthalmologists cannot always predict how vision will turn out. The visual outcome will not be known for up to several months after surgery. However the results are best when the retinal detachment is treated as soon as possible.

5787 people found this helpful

10 Facts About Retinal Detachment

Dr. Tejas D. Shah 88% (48 ratings)
MBBS, MS - Ophthalmology, Diploma in Ophthalmology , Fellowship in Cornea and Anterior Segment
Ophthalmologist, Ahmedabad
10 Facts About Retinal Detachment

Retinal detachment is a condition in which a layer of tissue called the retina gets lifted or pulled far from its initial position in the eye. This can cause a number of symptoms including slight vision impairment and blurred vision as well as pain. The retina is a light sensitive part that can be found in the rear portion of the eye. This part is responsible for sending visual signals to the brain which helps in forming the images that we see when we set our eyes on an object. If a person with this problem is not treated immediately, he or she can suffer from permanent vision loss.

Risks: You are more prone to retinal detachment if you:

  1. Have had injury (damage or blow) specifically to the eye
  2. Have as of now had a separation in one eye, then there is an improved probability of a separation in the other eye.
  3. Have a family history of retinal separation.
  4. Have weak eye-sight

Here are 10 facts that one needs to know about retinal detachment:

  1. Once in a while little ranges of the retina get torn. These are called retinal tears or retinal breaks. These can cause retinal separation.
  2. Obtuse injury, as from a tennis ball or damage by a sharp object in the eye can prompt retinal dysfunction.
  3. A family history of a disconnected retina that is hereditary could be one of the reasons for this disorder.
  4. The second eye of a patient with a retinal separation must be inspected by an ophthalmologist immediately.
  5. High astigmatism builds the danger of a retinal detachment. The danger increases to 2.4% when compared with a 0.06% danger for a defected eye at 60 years of age.
  6. In the event that you have lost vision in one eye because of a detachment, it can in some cases take a couple of months to get used to seeing with just the one normal eye.
  7. Laser surgery: Laser surgery can treat little openings and tears in this part of the eye. Little smolders are made around the opening to "weld" the retina once more into the right spot. It is performed in the eye specialist's clinic.
  8. Individuals taking certain kinds of eye drop that have the danger of building up a retinal separation. Pilocarpine, which for a long time was a pillar of treatment for glaucoma, has for quite some time been used for retinal separation.
  9. People with incessant irritation of the eye (uveitis) are at a greater danger of suffering from retinal detachment.
  10. Cross section degeneration of the retina is a kind of diminishing of the outside edges of the retina, which happens in 7% to 10% of the overall public.
3790 people found this helpful

Glaucoma & Retinal Surgery - Things You Must Know!

Dr. Amit Solanki 88% (20 ratings)
FAECS, DNB Ophtalmology, DO Ophthalmology, Fellowship In Phacoemulsification & Refractive Surgery
Ophthalmologist, Indore
Glaucoma & Retinal Surgery - Things You Must Know!

Caring for your eyes is important for great vision, but at times certain ailments, such as glaucoma and retinal detachment can be a cause for concern. Glaucoma is a condition, which causes the degeneration of the optic nerve of the eye. Retinal detachment, on the other hand, is an eye disorder which leads to peeling of the retina from the underlying tissue.

All about glaucoma
There are quite a few options when it comes to the surgery of glaucoma, though a doctor’s advice would be needed to choose the right one. Each type of surgery caters to a certain situation. One of them is known as trabeculectomy. While the term may seem a bit complex, it basically refers to a surgery in which there is a pathway made for the outflow of the water-like substance in the eye. It is good to know that this is a non-laser surgery, so all the complexity which comes with a laser surgery is avoided.

There is another glaucoma surgery called a trabeculotomy, which is basically the same but there is no tissue which is removed, unlike a trabeculectomy. The names can be confusing, can’t they?
While all these surgeries are good, why exactly are they needed? Well, the aim is to reduce the pressure in the eye, called intraocular pressure (IOP). Doing this helps prevent further damage. In short, all glaucoma surgeries endeavour to reduce the amount of fluid produced by the eye or to drain it.


All about retina surgery
The retina can be thought of as the screen at the back of the eye onto which everything projects.

  • When it comes to why a retina gets detached, it can happen due to a variety of reasons. Some of the most common are injuries as a result of accidents and eye infections. Eye diseases like glaucoma and the like can also cause it. However, the good news is that there is corrective surgery for this, which is proven to work.
  • The surgery for the retina includes sealing up any tears as well as positioning it correctly again. In many cases, an air bubble helps get the retina back in place. If there are tears in the retina, laser helps repair them. These surgeries include pneumatic retinopexy and sclera buckle surgery. The primary objective of such surgeries is to reattach the retina and to prevent vision loss.
  • Considering how serious a matter it is, it is only to be expected that recovery from retinal detachment surgery is a gradual process. Precautions which need to be taken include not visiting high altitude places or flying unless the doctor has given an ok as this could lead to an increase in the eye’s pressure.

In case you have a concern or query you can always consult an expert & get answers to your questions!

2473 people found this helpful

Retinal Detachment - 3 Common Types Of It!

Dr. Shreyas Shah 88% (133 ratings)
MBBS, DNB (Ophthalmology), ROP
Ophthalmologist, Coimbatore
Retinal Detachment - 3 Common Types Of It!

Retinal detachment is an emergency eye condition in which the retina at the back of the eye gets separated from the surrounding tissue and pulls away from its normal position. The retina acts as a light-sensitive wallpaper in the eye, providing a lining for the inside of the eye wall and sending visual signals to the brain. As the retina can't work properly under these conditions, one can permanently lose vision if the detached retina is not repaired immediately.

During the retinal detachment, the retinal cells gets separated from the layer of blood vessels which provides oxygen and nourishment. Usually, it begins in form of small torn area of retina known as retinal tears or retinal breaks. This condition, if not treated, leads to retinal detachment and finally permanent vision loss.

Retinal detachment has tell-tale warning signs like an increase in sudden appearance of floaters resembling cobwebs floating in field of vision. It can be coupled with flashes of light or curtain from any direction causing a loss of vision.

Retinal detachment is of three types

1. The most common form is Rhegmatogenous retinal detachment where a tear allows fluid to get under retina and prevents nourishment to reach retina from retinal pigment epithelium by separating them.

2. In Tractional form, scar tissue on the retina's surface shrinks causing it to separate from the retinal pigment epithelium. This form is most prevalent with diabetes patients.

3. Lastly, in case of Exudative retinal detachment, the fluid leaks into the area under retina without a tear or breaks in the retina. Retinal diseases or trauma to the eye are main causes for Exudative retinal detachment.

Although a person of any age can suffer from retinal detachment, but it is more prevalent in people over the age of 40. People suffering from degenerative myopia or lattice degeneration are more prone to this medical condition. People with family history of retinal detachment are also likely to suffer from the same.

Retinal detachment can be treated in many ways. The most common form is the Laser surgery in which small tears and hole are joined back to the retina. Another method is Cryopexy in which the area around the hole in frozen and helps reattach the retina. Both the above procedure are performed at ophthalmologist's clinic.

Sometimes, one may have to opt for Scleral buckle in which a tiny synthetic band is attached to the outside of the eyeball which gently pushes the wall of the eye in toward the centre of the eye placing the eye wall very close to the detached retina. Another option is vitrectomy surgery to replace the vitreous that fills the centre of the eye and helps the eye maintain a round shape.

A retinal detachment is an emergency medical condition and must be treated immediately to save one's vision. Most people have been successfully treated for retinal detachment, but ophthalmologists cannot always predict how vision will turn out. The visual outcome will not be known for up to several months after surgery. However the results are best when the retinal detachment is treated as soon as possible. If you wish to discuss about any specific problem, you can consult an Ophthalmologist.

2611 people found this helpful

Retinal Detachment - 3 Most Common Types!

Dr. Shalini Shetty 90% (42 ratings)
Fellowship of the Royal College of Surgeons (FRCS), MS - Ophthalmology
Ophthalmologist, Bangalore
Retinal Detachment - 3 Most Common Types!

Retinal detachment is an emergency eye condition in which the retina at the back of the eye gets separated from the surrounding tissue and pulls away from its normal position. The retina acts as a light-sensitive wallpaper in the eye, providing a lining for the inside of the eye wall and sending visual signals to the brain. As the retina can't work properly under these conditions, one can permanently lose vision if the detached retina is not repaired immediately.

  • During the retinal detachment, the retinal cells gets separated from the layer of blood vessels which provides oxygen and nourishment. Usually, it begins in form of small torn area of retina known as retinal tears or retinal breaks. This condition, if not treated, leads to retinal detachment and finally permanent vision loss.
  • Retinal detachment has tell-tale warning signs like an increase in sudden appearance of floaters resembling cobwebs floating in field of vision. It can be coupled with flashes of light or curtain from any direction causing a loss of vision.
  • Retinal detachment is of three types. The most common form is Rhegmatogenous retinal detachment where a tear allows fluid to get under retina and prevents nourishment to reach retina from retinal pigment epithelium by separating them. In Fractional form, scar tissue on the retina's surface shrinks causing it to separate from the retinal pigment epithelium. This form is most prevalent with diabetes patients. Lastly, in case of Exudative retinal detachment, the fluid leaks into the area under retina without a tear or breaks in the retina. Retinal diseases or trauma to the eye are main causes for Exudative retinal detachment.
  • Although a person of any age can suffer from retinal detachment, but it is more prevalent in people over the age of 40. People suffering from degenerative myopia or lattice degeneration are more prone to this medical condition. People with family history of retinal detachment are also likely to suffer from the same.
  • Retinal detachment can be treated in many ways. The most common form is the Laser surgery in which small tears and hole are joined back to the retina. Another method is Cryopexy in which the area around the hole in frozen and helps reattach the retina. Both the above procedure are performed at ophthalmologist's clinic.
  • Sometimes, one may have to opt for Scleral buckle in which a tiny synthetic band is attached to the outside of the eyeball which gently pushes the wall of the eye in toward the centre of the eye placing the eye wall very close to the detached retina. Another option is vitrectomy surgery to replace the vitreous that fills the centre of the eye and helps the eye maintain a round shape.
  • A retinal detachment is an emergency medical condition and must be treated immediately to save one's vision. Most people have been successfully treated for retinal detachment, but ophthalmologists cannot always predict how vision will turn out. The visual outcome will not be known for up to several months after surgery. However the results are best when the retinal detachment is treated as soon as possible. If you wish to discuss about any specific problem, you can consult an Ophthalmologist.
3928 people found this helpful

Retinal Detachment - 6 Things You Probably Never Thought Of!

Dr. Ruchi 87% (10 ratings)
MBBS, DOMS
Ophthalmologist, Faridabad
Retinal Detachment - 6 Things You Probably Never Thought Of!

Retinal detachment is a condition in which a layer of tissue called the retina gets lifted or pulled far from its initial position in the eye. This can cause a number of symptoms including slight vision impairment and blurred vision as well as pain. The retina is a light sensitive part that can be found in the rear portion of the eye. This part is responsible for sending visual signals to the brain which helps in forming the images that we see when we set our eyes on an object. If a person with this problem is not treated immediately, he or she can suffer from permanent vision loss.

Risks: You are more prone to retinal detachment if you:

  1. Have had injury (damage or blow) specifically to the eye
  2. Have as of now had a separation in one eye, then there is an improved probability of a separation in the other eye.
  3. Have a family history of retinal separation.
  4. Have weak eye-sight

Here are 10 facts that one needs to know about retinal detachment:

  1. Once in a while little ranges of the retina get torn. These are called retinal tears or retinal breaks. These can cause retinal separation.
  2. Obtuse injury, as from a tennis ball or damage by a sharp object in the eye can prompt retinal dysfunction.
  3. A family history of a disconnected retina that is hereditary could be one of the reasons for this disorder.
  4. The second eye of a patient with a retinal separation must be inspected by an ophthalmologist immediately.
  5. High astigmatism builds the danger of a retinal detachment. The danger increases to 2.4% when compared with a 0.06% danger for a defected eye at 60 years of age.
  6. In the event that you have lost vision in one eye because of a detachment, it can in some cases take a couple of months to get used to seeing with just the one normal eye.
  7. Laser surgery: Laser surgery can treat little openings and tears in this part of the eye. Little smolders are made around the opening to "weld" the retina once more into the right spot. It is performed in the eye specialist's clinic.
  8. Individuals taking certain kinds of eye drop that have the danger of building up a retinal separation. Pilocarpine, which for a long time was a pillar of treatment for glaucoma, has for quite some time been used for retinal separation.
  9. People with incessant irritation of the eye (uveitis) are at a greater danger of suffering from retinal detachment.
  10. Cross section degeneration of the retina is a kind of diminishing of the outside edges of the retina, which happens in 7% to 10% of the overall public.
3631 people found this helpful

6 Common Retinal Diseases

Dr. Tejas D. Shah 88% (48 ratings)
MBBS, MS - Ophthalmology, Diploma in Ophthalmology , Fellowship in Cornea and Anterior Segment
Ophthalmologist, Ahmedabad
6 Common Retinal Diseases

The retina is the third and innermost layer of the eye that catches light and helps us focus on things so that we can see clearly. This is one of the most important parts of the eye. The retina is made up of a number of light sensitive cells that are connected to nerve fibres. These nerve fibres help in transmitting the light into imagery through neuro impulses that reach the brain. There are many conditions and diseases that can affect this part of the eye.

Read on to know more.

  1. Macular degeneration: This is a common eye disease that is usually associated with aging and comes with symptoms like blurry vision and even blindness after a certain point. It can prevent a person from seeing things in a clear and sharp manner. This disease goes through a slow progression and can be of the dry or wet type.
  2. Diabetic retinopathy: This condition can leave one visually impaired in the long run with complete blindness. This complication usually arises when a person is suffering from diabetes. It can be proliferative or non-proliferative depending on the blood and fluid leakage as well as the severity of the inflammation in the retina. While the symptoms are very subtle, the advancement can begin at a very young age.
  3. Retinal vein occlusion: This condition usually happens when the veins of the retina gets obstructed or gets a blockage. This can lead to reduced blood flow to the entire area which can lead to significant vision impairment and an increase in the pressure on the eyes.
  4. Retinal tears and detachments: When the retina gets pulled and is subsequently lifted from its normal position, this can lead to a condition known as retinal tears and detachment. If this condition is not treated properly and on time, it can lead to vision loss in the long run. These tears can happen in smaller sections of the retina which can lead to retinal breaks causing detachments in the retina. This condition is most commonly seen in people over the age of 60.
  5. Posterior vitreous detachment: The vitreous is a gel like layer that allows the eye to retain its shape even as it allows the light to enter the eye and reach the retina. When the thin fibres connecting this layer and the retina get degenerated, there is a detachment that takes place between the two, leading to this condition.
  6. Epiretinal membrane and macular holes: The scar like tissue known as the epiretinal membrane that lines the back of the eyes. When the macular tissue gets distorted due to this membrane, a macular hole may form which can lead to progressive vision impairment.
5 people found this helpful

All About LASIK Eye Surgery!

Dr. Arjun Kumar Singh 91% (1129 ratings)
MBBS, DOMS, MS - Ophthalmology, Fellowship In Phacoemusification, Senior Consultant Surgeon
Ophthalmologist, Patna
All About LASIK Eye Surgery!

Laser-Assisted in Situ Keratomileusis (LASIK) uses a computer controlled laser to reshape the eye's cornea ( the transparent part in the front region of the eye), so as to enable light passing through it to focus correctly onto the retina of the eye.

When do you need this surgery?

This surgical procedure is ideal for people having following conditions making spectacle use mandatory :

  1. Myopia or nearsightedness - Far off objects appears blurry
  2. Hypermetropia or farsightedness - Close objects appear indistinct
  3. Astigmatism - Overall fuzzy vision

What Are the Advantages of LASIK Eye Surgery?

LASIK has many benefits, including:

  1. It corrects vision. Around 96% of patients will have their desired vision after LASIK. An enhancement can further increase this number.
  2. LASIK is associated with very little pain due to the numbing drops that are used.
  3. Vision is corrected nearly immediately or by the day after LASIK.
  4. No bandages or stitches are required after LASIK.
  5. Adjustments can be made years after LASIK to further correct vision if vision changes while you age.
  6. After having LASIK, most patients have a dramatic reduction in eyeglass or contact lens dependence and many patients no longer need them at all.

Facts about the surgery -

- Practically painless procedure done under numbing drops

- Short surgery time as well as recovery time
- No use of stitches
- Reduced dependency on glasses and contact lenses
- Better vision as compared to vision through high power glasses
- Minimum age to opt for the procedure is 18 years

What Happens During LASIK Eye Surgery?

During LASIK eye surgery, an instrument called a microkeratome or femtosecond laser is used to create a thin flap in the cornea. The cornea flap is then painlessly peeled back and the underlying corneal tissue is reshaped using another laser. After the cornea is reshaped so that it can properly focus light onto the retina, the cornea flap is put back in place and the surgery is complete.

LASIK is performed while the patient is under local anesthesia in the form of eye drops and usually takes about 10 minutes to complete. Patients may also request mild sedation. Plan to have someone drive you home after surgery.

LASIK in Presbyopia or Presbylasik:

The surgery can also be opted for individuals who suffer from presbyopia, which is long-sightedness brought on by the loss of flexibility of the eye lens, and usually occurs in individuals in their middle and old age. The condition renders individuals with the inability to focus on objects that are close by, leading to difficulty in reading smaller prints or doing chores close up.

In Presbylasik or Multifocal LASIK different power zones are created for seeing at varying distances - near , intermediate and distance vision. Consulting a doctor is best as he or she can help you to decide on the right course of action.

2883 people found this helpful

All You Need to Know about CATARACT Surgery

Dr. Rajeev Sudan 88% (52 ratings)
MD - Ophthalmology, MBBS
Ophthalmologist, Delhi
All You Need to Know about CATARACT Surgery

All You Need to Know about Cataract Surgery

A cataract is defined as a clouding of lens in the eye where your vision gets blurred. A cataract affects the eyes, when light that passes through the lens prevents a clearly formed image from reaching your retina. The disease is very common and usually develops as your eyes age or due to any injury caused to the tissues that cover your eye's lens.

Types of cataracts:

Senile Cataract: This is the commonest of all. It is age-related clouding of the lens. It can affect the near or distance vision and can also cause glare and change in glasses power.

Secondary Cataract: It can be developed after surgery for other eye problems like glaucoma and other health conditions such as diabetes.

Traumatic Cataract: It can develop many years later after an injury caused to your eye.

Congenital Cataract: As the term explains, the disease may be inborn or some children might develop it at a later stage which often affects both eyes. 

Radiation Cataract: It can form after you are exposed to some form of radiation.

A cataract surgery involves the extraction or cleaning of the cloudy lens, which is then replaced by a clear artificial lens.

Why does it happen? 

There are lens that lies behind our iris and pupil which act much like a camera lens. It helps concentrate light onto the retina at the back of our eye to form a sharply defined image. Besides, the lens also helps our eyes to adjust focus and allows us to see things clearly both far away and up close. The lens is composed of protein and water where the protein is arranged in a manner to keep the lens clear thereby letting light pass through it. 

However, as we grow old, some of the protein starts to become thick and cloud a small lens area. This is known as a cataract. With the passage of time, it may inflate and cover more of the lens, making it difficult for us to see.

Besides, there are other causes of cataract such as smoking, addiction of alcohol, prolonged sunlight exposure, to name a few. 

When should you opt for a cataract surgery?

Believe it or not, but till date no eye drop or medication has proven to reverse or prevent the formation of a cataract. If a cataract is affecting your nearsightedness or alteration in your prescription, then new prescription eyeglasses may help to better your blurred vision. However, the only treatment for a cataract is the surgical removal of your natural lens. And, most eye doctors recommend this surgery only when the problem becomes severe and starts hampering your day-to-day activities, such as studying or driving at night.

If you would like to consult with me privately, please click 'Consult'.
 

3156 people found this helpful

Know Everything About Cataract Surgery!

Wavikar Eye Institute 89% (213 ratings)
Ophthalmologist
Ophthalmologist, Thane
Know Everything About Cataract Surgery!

A cataract is defined as a clouding of lens in the eye where your vision gets blurred. A cataract affects the eyes, when light that passes through the lens prevents a clearly formed image from reaching your retina. The disease is very common and usually develops as your eyes age or due to any injury caused to the tissues that cover your eye's lens.

Types of cataracts:

  1. Senile CataractThis is the commonest of all. It is age-related clouding of the lens. It can affect the near or distance vision and can also cause glare and change in glasses power.
  2. Secondary Cataract: It can be developed after surgery for other eye problems like glaucoma and other health conditions such as diabetes.
  3. Traumatic Cataract: It can develop many years later after an injury caused to your eye.
  4. Congenital Cataract: As the term explains, the disease may be inborn or some children might develop it at a later stage which often affects both eyes. 
  5. Radiation Cataract: It can form after you are exposed to some form of radiation.

A cataract surgery involves the extraction or cleaning of the cloudy lens, which is then replaced by a clear artificial lens.

Why does it happen? 

There are lens that lies behind our iris and pupil which act much like a camera lens. It helps concentrate light onto the retina at the back of our eye to form a sharply defined image. Besides, the lens also helps our eyes to adjust focus and allows us to see things clearly both far away and up close. The lens is composed of protein and water where the protein is arranged in a manner to keep the lens clear thereby letting light pass through it. 

However, as we grow old, some of the protein starts to become thick and cloud a small lens area. This is known as a cataract. With the passage of time, it may inflate and cover more of the lens, making it difficult for us to see.

Besides, there are other causes of cataract such as smoking, addiction of alcohol, prolonged sunlight exposure, to name a few. 

When should you opt for a cataract surgery?

Believe it or not, but till date no eye drop or medication has proven to reverse or prevent the formation of a cataract. If a cataract is affecting your nearsightedness or alteration in your prescription, then new prescription eyeglasses may help to better your blurred vision. However, the only treatment for a cataract is the surgical removal of your natural lens. And, most eye doctors recommend this surgery only when the problem becomes severe and starts hampering your day-to-day activities, such as studying or driving at night.

4591 people found this helpful
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