A) Cryotherapy and sclera buckle
We can seal retinal holes by applying ‘splints’ (buckle) on the wall of the eye. The buckle is made of sponge or solid silicone material. It is positioned under the skin of the eye and usually stays there permanently.
B) Vitrectomy, cryotherapy and injection of gas or silicone oil
In some cases, the jelly-like substance called the ‘vitreous’ is not working and this is responsible for retina becoming detached. As part of your surgery, we remove this jelly during an operation called ‘vitrectomy’. During this operation, we make tiny cuts in the eyes and remove the vitreous. Next laser or cryotherapy. This causes a scar reaction, which over ten days will seal the break. We then put a gas or silicone bubble in the eye. This acts as a ‘splint’ to hold the retina in position until the scar reaction occurs (ten days). If we used a gas bubble, your normal body fluids will replace it naturally over time. If we use silicone oil, we might need to remove this another small operation several months after your first operation.
We usually put small stitches in the eye. At the end of the operation, we will put a pad shield over your eye to protect it. The pad and shield are removed the following morning and you only have to wear the clear eye shield at night-time for three weeks after your operation.
Posted in: Retinal Detachment Surgery
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