• Retinal detachment

     Retinal detachment describes an emergency situation in which a thin layer of tissue (the retina) at the back of the eye pulls away from the layer of blood vessels that provides it with oxygen and nutrients. Retinal detachment is often accompanied by flashes and floaters in your vision.

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    Dr. Michael Kapusta, MD, FRSCS, Ophthalmologist, talks about Retinal Detachment Repair and the various types of surgery.
    Dr. Michael Kapusta, MD, FRSCS, Ophthalmologist, talks about Retinal Detachment Repair and the various types of surgery.
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    Dr. Michael Kapusta, MD, FRSCS, Ophthalmologist, talks about retinal detachment and specialized equipment that can help with recovery.
    Dr. Michael Kapusta, MD, FRSCS, Ophthalmologist, talks about retinal detachment and specialized equipment that can help with recovery.
  • Retinal Detachment Repair - Overview

    Retinal detachments can be repaired in three general ways. The first is pneumatic retinopexy, where the surgeon will place a bubble of gas into the eye and treat the retinal tear with either cryotherapy, or at a later stage with a laser procedure.

                              

    The second procedure is called scleral buckle. This is done in the operating room, where the surgeon will put a silicone belt around the wall of the eye. This indents the eye and relieves the traction on the retinal tear and allows the retina to reattach.

    The third and most common way of repairing a retinal detachment involves a procedure called vitrectomy, where the surgeon in the operating room goes inside the eye with an infusion line, light and a cutting device called a vitrector and removes the jelly of the eye, which is called vitreous.

    The procedure is done typically under local anesthetic and it is the most common way to repair the retina. One uses gas and laser in the eye in order to force the retina into position and hold it there with a laser. At the conclusion of the surgery the patient typically will require a particular head position in order to allow the retina to stay attached. Retinal detachments occur across a wide spectrum of age. A patient’s age and their previous ocular history, including history surgery, do have implications in terms of what type of repair your vitreoretinal surgeon might choose to use with a local Ophthalmologist .

    For example, a younger patient might be more likely to have a scleral buckle procedure. Vitrectomy causes cataract, so a patient who is older or a patient