OCT is recommended. If it is indeed a macular fissure retinal detachment, surgery is recommended with the patient’s understanding and acceptance of the surgical complications and the prognosis of the surgery. For retinal detachment with macular fissure, the rate of retinal repositioning after surgery is still high in our area, but the recovery of vision after surgery is not satisfactory due to macular damage. Retinal detachment and cataract surgery should be able to be done at the same time.
I have done the pumping surgery for 10 days, had several fundus examinations, said there was gas inside, the doctor kept letting wait, didn’t say whether the reset was done or not, the patient felt as if the dark shadow in front of his eyes shrunk and got a little better, the doctor also kept saying wait and see, I wanted to be discharged in two days, today suddenly the doctor said there was partial recovery, there was a little bit not reset, wait two days and then pump the oil. We are from a rural area, working outside the home, and we are not covered by medical insurance, so we still need nearly 10,000 yuan. It is possible to repair such a little bit without reset, or other relatively simple, as long as it can be controlled not to develop, can live on their own.
According to your description, you should be able to see the fundus at present, ultrasound can be unnecessary. Since the fundus cannot be seen, I cannot give you very precise advice. But generally we have two options for this type of condition: one is to inject silicone oil; the other is to reattach the lie (if there is still gas inside the vitreous) and wait for the retina to flatten out and then laser around the macular hole. Both methods have their advantages and disadvantages. The advantage of silicone oil is that it lasts for a long time, but it may cause cataract aggravation and late-stage silicone oil emulsification, etc., and requires further surgery to remove the oil. The advantage of laser is that it is convenient and does not require surgery, but it causes irreversible vision loss and some patients still cannot reset the macular hole after laser. The chance of recurrence of macular hole retinal detachment is relatively high, no matter which method of treatment is used, you cannot guarantee 100% success, so we suggest you to communicate with your surgeon to decide further treatment plan. Wish you a quick recovery!