Treatment of Retinal Detachment


Treatment of Retinal Detachment at Center for Sight serving Fall River, Massachusetts and greater Providence, Rhode Island

By Robert Kelly, M.D.

There are a number of possible treatments for Retinal Detachment that eye doctors at Center for Sight in Fall River can recommend depending on the cause of the detachment and its location.  These include:

  • Cryopexy and Laser Photocoagulation Treatment is often used to create a tiny scar around the edge of a Retinal Hole, or small Retinal Tear in order to prevent fluid from passing through the area and underneath the Retina causing or worsening a Retinal Detachment. Cryopexy uses a “cold” instrument, about the size of a pencil, to freeze the damaged area whereas Laser Photocoagulation Treatment uses a powerful “laser beam” to achieve the creation of the tiny scar.  Generally these two treatments are interchangeable but Cryopexy is often used if there is a considerable accumulation of fluid. Cryopexy is performed in an operating room, while laser treatment can often be done in the office.
  • Pneumatic Retinopexy is another type of retinal surgery for repairing Retinal Detachment.  During Pneumatic Retinopexy, the Retina Surgeon injects a “gas bubble’ into the back of the eye after first applying the Laser or Cold treatment.  The patient’s head is positioned so that the “gas bubble” acts to place gentle pressure against the damaged area, allowing the fluid underneath to be absorbed and the Retina to reseal itself in place.  This often requires that patients lie perfectly still in a particular position for several days or even a week in order for the results to take effect.
  • Scleral Buckle Surgery is a well established treatment for Retinal Detachment whereby the Retinal Surgeon carefully sews silicone bands in place in order to apply gentle pressure to the outermost walls of the eye so they move up against the Retinal Breaks, allowing the defect to close and the Retina to reattach.  Scleral Buckle Surgery may be done in conjunction with Cryopexy or Laser Photocoagulation to assure the best possible results.
  • Vitrectomy click to view vitrectomy procedure is an increasingly common treatment for Retinal Detachment that involves surgically removing the Vitreous gel in the back part of the eye in conjunction with the injection of a “gas bubble.”  In general, Vitrectomy is not the first surgery that is used to repair a Retinal Detachment because is often leads to the formation of a Cataract and should the initial surgery fail to allow reattachment of the Retina, the second procedure is often much more difficult and complex.

After surgery for Retinal Detachment, the results can often take many weeks for patients to achieve their visual recovery.  In certain cases, the vision after Retinal Detachment Surgery may not allow the full recovery of precise vision, especially if the Macula was detached in addition to other areas of the Retina. Early diagnosis and rapid treatment are the keys to preventing vision loss from Retinal Detachment. Regular eye examinations are an excellent way to learn if you are at risk for Retinal Detachment.

If you, a friend or family member experience any of the symptoms of Retinal Detachment, please treat this as a medical emergency by calling Center for Sight for an immediate appointment. You can reach center for Sight in Fall River, Massachusetts at 508-730-2020.

Center for Sight is conveniently located for patients in need of evaluation, diagnosis and treatment of Retinal Detachment in Massachusetts or Rhode Island from Attleboro, Fairhaven, Fall River, Franklin, Mansfield, Marion, Mattapoisett, Medfield, Milford, New Bedford, North Attleboro, North Dartmouth, Norton, Oxford, Rehoboth, Somerset, Swansea, Taunton, Walpole, Whitinsville, Woonsocket, Providence, Smithfield, Westport, Lakeville, Dighton, Little Compton, and Tiverton.