I was also supposed to not read with my good eye as it could cause the bad eye to move involuntarily. My eye was patched for a week and the doctor told me to stay on the couch for that week and to not move around too much. Visit, physicians determine if the patient needs corrective lenses or Best visual acuity cannot be determined for at They also must avoid airĪfter scleral buckling, patients will use dilating, antibiotic orĬorticosteroid eye drops for up to six weeks to decrease inflammation and Patients must sleep with their heads elevated. If a vitrectomy was performed in conjunction with the scleral buckling, Vision is not normal, and should immediately be reported to the physician. Patients may take pain medication, but should check with their physicianīefore taking any over-the-counter medication.Įxcessive pain, swelling, bleeding, discharge from the eye or decreased Ice packs may be applied if the conjunctiva swells. PainĪnd a scratchy sensation as well as redness in the eye also may occurĪfter surgery. Sunglasses should be worn during the day and an eye patch at night. Rapid eye movements should alsoīe avoided reading may be prohibited until the surgeon gives permission. That could increase intraocular pressure. Scleral buckling procedures however are performed on an outpatient basis.Īfter release from the hospital, patients should avoid heavy lifting or Some patients must remain hospitalized for several days. Immediately following the surgery, patients will need help with meals and Patients are required to fast for at least six Retinal detachments should be repaired within one week.īecause scleral buckling is usually an emergency procedure, there is no Small breaks in the retina will not require surgery, but patients withĪcute onset detachment require reattachment in 24–48 hours. Physicians may perform the following tests to determine the extent of Slit lamp examination, examination of the macula and lens evaluation, In addition to performing a general eye exam, which includes a Including family history of retinal detachment and any recent ocular In extreme cases, patients may lose vision completely.Īn ophthalmologist or optometrist will take a complete medical history, Patients commonlyĭescribe the vision loss as having someone pull a shade over their eyes. Spots and experiences peripheral visual field loss. In the case of anĪcute onset detachment, the longer it takes to repair the detachment, the Retinal detachment is considered an emergency situation. Scleral buckles in infants, however, will Usually, however, the buckle remains in placeĭoes not interfere with vision. Ointment) into the affected eye and patches it.įor less severe detachments, the surgeon may choose a temporary buckle The surgeon then inserts an antibiotic (drops or After the fluid isĭrained, the surgeon will suture the buckle into place and then cover it Might interfere with the retina's reattachment. When the buckle is in place, the surgeon may drain subretinal fluid that Depending on the severity of theĭetachment or hole, a buckle may be placed around the entire eyeball. This reduction prevents further pullingĪnd separation of the vitreous. The silicone,Įither in the form of a sponge or buckle, closes the tear and reduces theĮyeball's circumference. She indents the affected area of the sclera with silicone. Cryopexy is used for larger holes or detachments, and for areasĪfter the surgeon has performed laser photocoagulation or cryopexy, he or The inflammation caused by theįreezing leads to scar formation that seals the hole and prevents Using a freezing probe, the surgeon freezes the outer surface That will seal the hole and prevent leakage. The surgeon points the laser beam through aīurn the area around the retinal tear. The laser is used when the retinal tear is small Surgeon may inject air or gas to hold the retina in place.Īfter, the surgeon is able to see the retina, he or she will perform one Vitreous, which he then replaces with saline. The surgeon uses a tiny, guillotine-like device to remove the Sclera, one for a light probe and the other for instruments to cut andĪspirate. Vitrectomy is necessary only in cases in which the surgeon's view Hole, he or she may perform a vitrectomy before scleral buckling. Inflammation blocks the surgeon's view of the retinal detachment or The surgeon cuts the eye membrane, exposing the sclera. Patients are given eye drops to dilate the pupil to allow better access to
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