Floaters
Retinal detachment is a serious eye condition in which the retina pulls away from its normal position at the back of the eye, affecting vision. In some cases, the problem may begin as a retinal tear or break, which can develop into a full detachment if left untreated.
Once a retinal detachment happens, vision is severely affected. If the condition progresses and reaches the macula, the part of the retina responsible for central vision, it may lead to permanent vision loss.
Because of this, retinal detachment treatment is often surgical and aims to repair the tear and reattach the retina as early as possible.
The treatment involves surgery to repair torn or detached retina.
Retinal detachment occurs when the retina, the light-sensitive layer at the back of the eye, separates from its underlying tissue.
Common causes include:
Retinal detachment is a serious eye emergency in which the retina separates from the underlying tissue at the back of the eye. When this happens, the photoreceptor cells responsible for vision are cut off from their blood supply. Without prompt treatment, retinal detachment can lead to permanent vision loss.
The macula, which is the central part of the retina responsible for detailed vision, plays an important role in visual recovery. In cases of retinal detachment in Singapore, patients who are diagnosed and treated before the macula becomes affected generally have a better chance of preserving useful vision compared to those who receive delayed treatment.
The aim of retinal detachment treatment is to reattach the retina to the underlying tissue and seal any tears or breaks, helping to prevent further deterioration of vision.
Managing this condition requires a retinal surgeon in Singapore with subspecialist training in diseases of the posterior segment of the eye. A thorough assessment is needed to determine the type, location, and extent of the detachment before recommending a suitable course of treatment.
At Asia Retina Eye Surgery Centre, Dr Claudine Pang is a retinal specialist in Singapore with subspecialty training and experience in managing retinal conditions. She is trained in surgical approaches, including vitrectomy, scleral buckling, and pneumatic retinopexy, and will recommend the most clinically appropriate option based on each patient’s individual condition.
If you are experiencing sudden visual changes such as new floaters, flashing lights, or a shadow in your vision, please seek prompt assessment from an eye doctor.
Retinal detachment surgery in Singapore is typically performed using 1 of 2 main approaches. In general, your doctor may recommend either an external procedure or an internal procedure, depending on the condition.
The external procedure, known as a scleral buckle, involves placing a flexible band around the eyeball to provide support and help the retina reattach.
Alternatively, the internal procedure, called a vitrectomy, involves removing the vitreous gel inside the eye and reattaching the retina using a tamponade agent and laser treatment.
The choice of procedure depends on the extent of the retinal tears and the severity of the detachment.
Scleral buckle surgery is a procedure to treat retinal detachment, a condition where the retina separates from the back of the eye. It involves attaching a small, flexible band or sponge, typically made of silicone, to the outer white layer of the eye (sclera). The band is positioned near the retinal tear and works by gently pushing the sclera inward, helping the retina reattach to the underlying tissue. The procedure can be performed under local or general anesthesia and is often combined with other treatments, like laser or cryotherapy, to seal the tear. It’s a proven and effective treatment method.
Scleral buckle surgery is generally safe, but like any surgical procedure, it carries low risks and uncommon complications, such as infection, bleeding, diplopia, increased eye pressure, changes in refraction, discomfort or buckle extrusion and retinal redetachment.
Vitrectomy is a surgical procedure used to treat retinal detachment by removing the vitreous gel from the eye and repairing the retina. The surgery begins with anesthesia to numb the eye or put the patient to sleep, depending on the case. The eye is cleaned with an antiseptic solution and covered with sterile drapes. A speculum is used to keep the eyelids open during the procedure, while the other eye is protected with a dressing.
The surgeon makes a small incision, about 0.5 millimeters wide, in the sclera, the white outer layer of the eye, to access the pars plana—a region near the retina. A specialized microscope is inserted through this opening to visualize the detached retina and surrounding structures. A vitrectomy probe is then used to cut and remove the vitreous gel, which is contributing to the detachment.
During the procedure, the surgeon may treat associated complications such as abnormal blood vessels, clots, unwanted scar tissue or tears in the retina. Laser is often employed to seal retinal tears and create intended scar tissue that helps reattach the retina. Any subretinal fluid is drained, and a vitreous replacement substance such as silicone oil, saline solution, air, or gas is introduced to maintain eye pressure and support the retina.
Afterward, an antibiotic solution is applied to prevent infection, and the eye is covered with a protective bandage. Recovery involves careful monitoring and following post-surgical instructions to ensure the retina remains securely attached.
Your doctor will choose an appropriate procedure based on the type and extent of the retinal detachment, the presence of retinal tears, and whether there is a pre-existing cataract.
After assessing these factors, your doctor will recommend the most appropriate treatment based on your individual condition.
Recovery after retinal detachment surgery typically takes 2 to 4 weeks before resuming normal activities and work.
During this period, your doctor may prescribe eye drops to reduce the risk of infection. It is important to use these drops as instructed, adhering to the prescribed schedule.
Common post-surgery effects include mild eye pain and temporarily blurred vision, which usually subside within a few days and are well-tolerated by most patients. Swelling, tenderness, and redness in the affected eye are also normal and may persist for several weeks as part of the healing process.
Caring for yourself is a vital part of your treatment after the operation! Always remember to turn up for your scheduled appointments, even if you feel that most of the symptoms or pain have subsided. It’s also good practice to keep your list of medicines prescribed and test results in a document holder that is convenient for keeping track of your recovery progress.
Rest is crucial after your surgery. Allowing your eye and body to heal without undue stress or fatigue is essential. You may feel more easily tired due to the discomfort and adjustments following the procedure, so prioritize adequate rest to support your recovery and vision.
Avoid strenuous activities, including heavy lifting, quick movements, or even household chores like changing bedsheets or mopping. Minimize head movement as much as possible. Depending on your job, you may need 2 to 4 weeks off to recover fully.
Showering is fine, but take care to avoid getting soap or water in your eye. Using a face towel to wash your face can help prevent splashes that could irritate your eye.
When outdoors, especially in Singapore’s intense sunlight, always wear sunglasses to protect your eyes. It’s good practice to wear sunglasses during the day, even indoors if necessary.
Driving should only be attempted if your vision is clear and stable. Consult your doctor if you are unsure whether it is safe to drive during your recovery period.
If you are currently taking prescription medication, it is important to inform your doctor or eye specialist. They can advise whether you should continue using them during your recovery. Certain medications, such as blood thinners or aspirin, require special consideration, as they may pose risks or complications if taken during this period. Discuss the management of these medications thoroughly with your doctor to ensure you understand their recommendations clearly.
For pain relief, use any prescribed painkillers strictly as directed. If you run out of pain medication but still experience discomfort and wish to take over-the-counter alternatives, consult your doctor before doing so to ensure safety.
Eye drops are often prescribed to aid recovery. Use them consistently and as instructed to achieve the best possible healing outcomes.
Yes. Retinal detachment is a condition that requires prompt medical assessment and treatment to reduce the risk of vision loss.
No. With prompt treatment, many patients are able to preserve their vision. The risk of vision loss increases when treatment is delayed.
In most cases, surgery is recommended to reattach the retina. Your doctor will assess the severity and location of the detachment and explain the most appropriate treatment option for you.
Many patients experience improvement in vision after treatment, especially when the condition is treated early. The degree of recovery can vary depending on how long the retina was detached and which part of the eye was affected.
