In 1986 Hilton introduced the technique of pneumatic retinopexy (PR) to treat RRDs with retinal breaks in the superior eight clock hours of the retina. The first invention of vitrectomy and its modification during the 1970s made a big revolution in retinal detachment repair surgery. Using all these techniques, modern scleral buckling procedure has resulted in an improved anatomical success rate, especially when it is performed in fresh retinal detachment. introduced the silicone sponge buckle and modern cryotherapy in 1960. Schepens developed the modern binocular indirect ophthalmoscope with a scleral depressor in 1945, which added a lot to retinal detachment repair surgeries, using that he performed the first buckling surgery in the United States. Building on his theories, Ernst Custodis performed the first scleral buckling surgery in 1949. Jules Gonin performed the first successful retinal detachment surgery after accurate localization of retinal breaks, drainage of SRF and thermocautery in the beginning of the last century. Over the last century, several techniques have been used in the surgical treatment of RRD. The reported incidence rates of RRD vary from around 8–14/100 000 persons per year in different countries. For additional information visit Linking to and Using Content from MedlinePlus.Rhegmatogenous retinal detachment (RRD) occurs when there is a separation of the neurosensory retina from the retinal pigment epithelium (RPE) with the accumulation of subretinal fluid (SRF) in the presence of one or more retinal breaks. Any duplication or distribution of the information contained herein is strictly prohibited without authorization. Links to other sites are provided for information only - they do not constitute endorsements of those other sites. A licensed physician should be consulted for diagnosis and treatment of any and all medical conditions. ![]() ![]() The information provided herein should not be used during any medical emergency or for the diagnosis or treatment of any medical condition. This site complies with the HONcode standard for trustworthy health information: verify here. Learn more about A.D.A.M.'s editorial policy editorial process and privacy policy. is among the first to achieve this important distinction for online health information and services. follows rigorous standards of quality and accountability. is accredited by URAC, for Health Content Provider (URAC's accreditation program is an independent audit to verify that A.D.A.M. Often, it will be less than 20/200, the limit for legal blindness.Ī.D.A.M., Inc. If the macula was detached for a long time, some vision will return, but it will be very impaired.If the macula was involved for less than 1 week, vision will usually be improved, but not to 20/20 (normal).If the central area of vision (macula) was not involved, vision will usually be very good.However, once the retina has detached, its rods and cones that detect light (the photoreceptors) may never recover completely.Īfter surgery, the quality of vision depends on where the detachment occurred, and the cause: The sooner the detachment is repaired, the sooner the retina will begin to recover. When a detachment occurs, the photoreceptors (rods and cones) start to degenerate. Failure to repair the retina always results in loss of vision to some degree. More than 9 out of 10 detachments can be repaired. However, some people will need several surgeries. Most of the time, the retina can be reattached with one operation. In complex cases, both procedures may be done at the same time. Most vitrectomies are done with numbing medicine while you are awake. This allows the retina to move back into its proper position. The vitrectomy procedure uses very small devices inside the eye to release tension on the retina.Scleral buckling can be done using numbing medicine while you are awake (local anesthesia) or when you are asleep and pain free ( general anesthesia). The scleral buckle method indents the wall of the eye inward so that it meets the hole in the retina.The following procedures are done in a hospital or outpatient surgery center: Severe detachments need more advanced surgery. The doctor will use a laser to permanently seal the hole.You are then positioned so the gas bubble floats up against the hole in the retina and pushes it back into place.The eye doctor injects a bubble of gas into the eye.Pneumatic retinopexy (gas bubble placement) is most often an office procedure.If the retina has just started to detach, a procedure called pneumatic retinopexy may be done to repair it. ![]() This procedure is most often done in the eye doctor's office. If holes or tears in the retina are found before the retina detaches, the eye doctor can close the holes using a laser. Most retinal detachment repair operations are urgent.
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