retina detachment/ deterioration (20)

2008-10-06 7:12 am
I have recently found that i have retina detachment, and at the same day i had a laser treatment right away.

however the doctor advised me to do another surgery of injecting gas into my eye ball, and told me that laser treatment isn't very reliable.

Im a bit worried because i didn't take the advise. Can anyone explain to me about how the operation would be done and how long do i have to rest? And would it be a very dangerous decision to decide to rely on the laser treatment?

回答 (2)

2008-10-07 5:07 am
✔ 最佳答案
Retinal detachment refers to separation of the inner layers of the retina from the underlying retinal pigment epithelium (RPE, choroid).
The common treatment are:
Adatomed Silicone Oil
It is a sterile, colorless liquid injected into the eye and mechanically holds the retina in place until it reattaches. The oil is usually removed within a year.
Cryopexy and Laser Photocoagulation
They are the treatments used to create a scar/adhesion around the retinal hole to prevent fluid from entering the hole and accumulating behind the retina and exacerbating the retinal detachment. However, cryopexy is generally used in instances where there is a lot of fluid behind the hole; laser retinopexy will not take.
Scleral buckle surgery
The eye surgeon sews one or more silicone bands (bands, tyres) to the outside of the eyeball. The bands push the wall of the eye inward against the retinal hole, closing the hole and allowing the retina to re-attach. The bands do not usually have to be removed. The most common side effect is myopic shift.
Pneumatic retinopexy(injection of air)
A gas bubble (SF6 or C3F8 gas) is injected into the eye after which laser or freezing treatment is applied to the retinal hole. The patient's head is then positioned so that the bubble rests against the retinal hole. Patients may have to keep their heads tilted for several days to keep the gas bubble in contact with the retinal hole.
Vitrectomy
It involves the removal of the vitreous gel and is usually combined with filling the eye with a gas bubble (SF6 or C3F8 gas).
After treatment patients gradually regain their vision over a period of a few weeks, the visual acuity may not be as good as it was prior to the detachment. However, if left untreated, total blindness could occur in a matter of days.

Please seek your second medical advice for your final decision if you are too worried.
參考: From my knowledge and searching
2008-10-06 10:04 am
You should have a throughout test on your eye ball, to make sure what you really need to do. There's alway have a risk and side effect afterwards. There's a high chance to cause glaucoma 青光眼 that's why you need to keep on your eyes' pressure. Consult your doctor, it is very important. Take care

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