The inside of the eyeball is filled with a transparent gel-liquid called “vitreous”. Often, with advancing age, the vitreous fluid loses its gel consistency and shrinks.
With this shrinkage, the vitreous separates from the back wall of the eye. This separation is called “posterior vitreous detachment”.
In addition to advancing age, posterior vitreous detachment may occur earlier after blows to the eye, high levels of myopia, some familial hereditary diseases, and previous eye surgeries.
Prof. Dr. Tansu Erakgün
Retina Diseases and Vitreoretinal Surgery Specialist
Born on March 20, 1968, in İzmir, Prof. Dr. Tansu Erakgün completed his middle education at Saint Joseph College and his high school education at Karşıyaka Gazi High School. After graduating from Ege University Faculty of Medicine in 1992, which he entered in 1986, he began his residency training in the Department of Ophthalmology at Ege University Faculty of Medicine Hospital in the same year. In 1997, he became a specialist...
About Me VideosWhat are the symptoms of posterior vitreous detachment?
Posterior vitreous detachment may cause the following symptoms:
- Floaters, particles, spider webs especially noticeable when looking at white, shiny surfaces
- Flashes of light (can be seen when the eye is open or closed)
Posterior vitreous detachment is not the same as retinal detachment, which occurs when a tear occurs in the eye and requires treatment.
However, the risk of tears and retinal detachment increases slightly during and especially in the first 12 months after posterior vitreous detachment occurs.
Therefore, a patient with symptoms of posterior vitreous detachment must undergo a retinal examination.
If retinal detachment occurs, it may result in vision loss if not treated soon. Therefore, it is important to know the symptoms of retinal detachment. These symptoms are:
- Flashes of light felt when the eye is open or closed (as in posterior vitreous detachment)
- Sudden appearance of larger numbers of flying objects
- Gray-black curtain developing from any direction within the visual field
- Blurring or loss of vision that does not go away with blinking
If one or more of the above symptoms are present, a retina examination should be performed without delay.
What is retinal detachment?
As a result of the shrinkage of the vitreous fluid that fills the inside of the eyeball, this gel-like fluid separates from the back wall of the eyeball. This condition is called posterior vitreous detachment.
In some cases, during the formation of posterior vitreous detachment, a tear may occur in the nerve layer called the retina. The symptoms of a retinal tear are almost the same as those of a posterior vitreous detachment.
After a retinal tear occurs, intraocular fluid passes through this tear between the retina and the underlying wall, causing a disease called “retinal detachment”.
What are the symptoms of retinal detachment?
Retinal detachment is an urgent disease that can result in vision loss. That’s why symptoms are important. These symptoms are:
- Flashes of light felt when the eye is open or closed (as in posterior vitreous detachment)
- Sudden appearance of larger numbers of flying objects
- Gray-black curtain developing from any direction within the visual field
- Blurring or loss of vision that does not go away with blinking
What is the Treatment of Izmir Retinal Tear?
It is extremely important to detect a retinal tear early and treat it before retinal detachment develops.
Symptoms of a retinal tear are flashes of light and floaters. If these symptoms occur, a retinal examination should be performed as soon as possible.
If a retinal tear is detected during the examination and it is suspected that this tear may cause retinal detachment, it must be treated. In the treatment, the tear is closed with laser.
What is Izmir Retinal Detachment Treatment?
If retinal detachment has developed, surgical intervention, that is, surgery, is required. The surgery method may vary depending on the number, size, location and shape of the retinal tear causing the retinal detachment and the duration of the retinal detachment.
- External buckling method (scleral buckling method)
It is the oldest method used in detachment surgery. A piece of hard silicone is placed on the outer wall of the eyeball, corresponding to the area of the retinal tear, and the retinal tear is closed from the outside.
If the retinal tear is closed with this external intervention, the retinal detachment fluid (fluid accumulated under the retina) is absorbed by the eye in a short time and healing is completed.
Processing Time | 1 hour |
Risks | Infection, bleeding, tear not closing, new tear |
Side Effects | Cataract development |
Who Can It Be? | Those who have a retinal tear and develop retinal detachment, emergency |
Return to Work Time | About 1 month |
What is the recovery like after retinal detachment surgery?
Recovery after retinal detachment surgery may vary depending on the surgery method and the individual’s general health condition. After retinal detachment surgery, your doctor will give you a series of recommendations. These recommendations can be given to speed up the postoperative recovery process and increase the success of the surgery. For example, your doctor may advise you not to scratch your eyes, to close your eyes and rest, and to protect your eyes from water or dust. Your doctor may also give you advice on post-operative medication use. The recovery process after retinal detachment surgery may vary between individuals and may be faster in some individuals and slower in others.
Who Gets Retinal Detachment?
The question of who gets retinal detachment is an issue that needs to be addressed in detail. Retinal detachment is the separation of the retina in the back of the eye. This condition can cause vision loss and requires immediate medical attention. Retinal detachment can often be caused by factors such as trauma, high myopia, eye surgeries, or intraocular inflammation. Retinal detachment can occur in many people, but is more common in people with high myopia. Myopia is a condition in which the focal point of the eye’s lens is in front of the retina rather than in front of it because the eye is longer than normal. This causes the retinal tissue to stretch and increases the risk of retinal detachment.
Retinal detachment can also occur in people who have had eye surgery in the past. During eye surgeries, manipulation of the tissues inside the eye and pressure applied to the retina can cause the retina to detach. Therefore, the risk of retinal detachment increases, especially in people who have had cataract surgeries. Retinal detachment may also be associated with certain conditions called peripheral retinal degeneration. Retinal tears can be a condition where retinal tissue tears and fluid leaks under the retina. This increases the risk of retinal detachment. The treatment for retinal detachment is surgery.
Who Should Have a Retinal Examination in Terms of Retinal Tear and Retinal Detachment Risk?
People who experience flashes of light and sudden floaters in their eyes should be examined for retinal tears.
- Especially those with high myopia,
- People who have been hit in the eye,
- Those who have had previous eye surgery, such as cataract surgery,
- Those with a family history of laser treatment or retinal surgery due to retinal tear,
- Those who have a history of laser treatment or retinal surgery due to retinal tear in the other eye
Complaints of such flashes and floaters should be taken seriously and a retinal examination should be performed as soon as possible.
Vitrectomy Surgery Izmir
If the tears that cause retinal detachment are numerous, large, located differently than usual, if the tear cannot be detected, if there are other accompanying diseases (such as intraocular bleeding), or if time has passed, it may be necessary to perform vitrectomy surgery.
In vitrectomy surgery, retinal detachment is treated from inside the eye. For this purpose, small holes are made in the eyeball, the vitreous fluid is cleaned with the help of some cutting and aspirating rods (probes) and light sources, the fluid accumulated under the retina is aspirated, the tears are closed, and laser treatment is applied.
At the end of the surgery, it is necessary to inject a tampon into the eye to ensure that the laser treatment adheres to the torn area and to maintain this effect.
Depending on the situation, this buffer material may be air and similar gases, or silicone oil. After the surgery, the patient must use protective eye drops for a while and lie in a certain head position.
What are the Izmir Retinal Detachment Prices?
You can contact your doctor to get information about Izmir Retinal Detachment prices.
F.A.Q
How many hours does retinal detachment surgery take?
Retinal detachment surgery usually takes a few hours and is performed under local or general anesthesia. During retinal detachment surgery, the ophthalmologist glues the retina layer into the eye and fixes this layer within the eye. This process ensures that the retina layer sticks in place inside the eye. and thus vision loss is prevented. Retinal detachment surgery usually gives successful results and helps restore vision.
How long does it take to recover from retinal detachment?
The recovery process after retinal detachment surgery may differ for each person, and the recovery time may vary depending on the type of surgery. After retinal detachment surgery, the instructions and recommendations given by the ophthalmologist should be taken into consideration. During the healing process of the eyes, the use of the right medications, artificial “It is important to moisturize with tears and the eyes should be protected against sunlight. Additionally, heavy physical activity should be postponed for a while after surgery.
At what age does retinal detachment occur?
Retinal detachment can be seen at any age, but it is more common over the age of 50. Retinal detachment is generally associated with some changes that occur inside the eye. Due to reasons such as vitreous humor (fluid in the eye) or separation of tissues in the eye, the retina “Retinal detachment occurs. Since retinal detachment can cause vision loss, it is important to recognize and treat it in advance.
References:
CIBIS, P. A., BECKER, B., OKUN, E., & CANAAN, S. (1962). The use of liquid silicone in retinal detachment surgery. Archives of ophthalmology, 68(5), 590-599.