How to properly treat retinal detachment?

Retinal detachment is a common and serious fundus disease that often leads to blindness if not treated properly. Therefore, timely and proper diagnosis and selection of the appropriate surgical procedure are particularly important. There are three types of retinal detachment: foraminogenic retinal detachment, tractional retinal detachment and exudative retinal detachment. Pore-derived retinal detachment is the most common type, which is often referred to as detachment of the eye membrane. It is mostly seen in adolescent myopic patients and middle-aged and elderly people. The most common symptom of retinal detachment is the appearance of black shadows and flashing sensation in front of the eyes. If there is a sudden increase in black shadows or flashing sensation in front of the eyes, it is generally recommended to go to the ophthalmology department for a dilated eye examination of the fundus, in addition, if the patient is myopic, it is also recommended to go to the ophthalmology department for a dilated triple-lens fundus examination, if there is nothing wrong, there will be no problem in the teenage period. If there is peripheral retinal degeneration or retinal fissure then regular observation or laser treatment is needed so that retinal detachment can be avoided. Don’t be afraid if retinal detachment occurs, as early treatment generally has an ultimate success rate of over 95% for surgery. There are generally three ways to treat retinal detachment, scleral buckling (external), vitrectomy (internal) and a combination of the two. External surgery is the most common treatment for retinal detachment because of its simplicity, few side effects, quick recovery and low cost. Vitrectomy is more complicated. After vitrectomy, the vitreous needs to be filled with gas or silicone oil depending on the condition, and if it is filled with silicone oil, the silicone oil has to be removed in the future. The combination of the two is for the most complex retinal detachment and is relatively rarely used. Patients under 40 years of age, especially adolescents with retinal detachment, and patients with retinal detachment within 2 months are usually treated by scleral buckling. For complex retinal detachment with vitreous blood, choroidal detachment and retinal anterior membrane, vitrectomy or combined surgery is usually chosen, and the final success rate is over 90%. So as long as early treatment can generally restore part of the useful vision. After retinal detachment surgery, if the surgery is successful, you can generally carry on with your normal life and will not have any impact on your life because you have had retinal detachment. Only a very small number of patients will have a recurrence. Therefore, do not worry too much about retinal detachment. Exudative retinal detachment is often a complication of total uveitis and usually does not require surgical treatment. Retinal detachments heal gradually as the uveitis improves, with little or no effect on vision. Tractional retinal detachment generally occurs in patients with diabetic retinopathy, hypertension, and uveitis, and is relatively severe. Surgery is generally more complicated, has a lower success rate, and postoperative vision recovery is worse than foraminogenic retinal detachment. This article is a simple tip for patients with retinal detachment. Early consultation, selection of appropriate surgery and postoperative review can generally cure retinal detachment and restore some useful vision.