All cases require medicated eye drops and/or ointment for up to several weeks. Postoperative requirements and care vary depending on the nature and complexity of the RD. Mild to moderate eye discomfort is common in the first few days following surgery. The eye will usually be quite red with variable swelling after surgery. Regardless of the procedure chosen, the surgery requires small incisions that are self-sealing or are closed at the end of the procedure with very fine dissolvable sutures. During the surgery, the patient can hear the surgeon speak but feels no pain. A very calm environment is maintained in the operating room. The opposite eye is covered for protection. While the eye is anesthetized, it typically cannot see any detail so the patient cannot "see" what is happening during the surgery. Like other eye surgery, an RD repair is usually performed as an outpatient procedure under a local anesthesia in which the patient is awake but gently sedated and the eye is numbed with anesthetic. RD surgery is performed under strict sterile conditions in an operating room. However, the retinal specialist chooses from the following options: 1) pneumatic retinopexy (an office procedure applicable only in rare situations), 2) scleral buckle, 3) vitrectomy or 4) combined scleral buckle/vitrectomy. Since RD surgery is highly complex, it is not possible to fully describe the decision making process and details of each surgical procedure in a brief manner. Each RD is unique, and several different surgical procedures are available to the retinal specialist who will carefully evaluate the eye to determine the best procedure for each case. Congenital Hypertrophy of the Retinal Pigment Epithelium (CHRPE)Ī retinal detachment (RD) is a very serious condition for which surgery is almost always required to prevent blindness in the affected eye.
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