Even if it seems to you that you have no problems with vision or eyes in general, you should visit an ophthalmologist regularly. For example, if you have begun the process of retinal detachment, you may not even know about it. Problems will become noticeable only when tears appear: they appear as sudden flashes, appearing floating spots or a feeling of veil in the eyes. But they are so insignificant that many simply do not pay attention to such "trifles". Therefore, if something bothers you, it is best to contact an optometrist as soon as possible.
In the early stages, retinal detachment is treated with a laser: with it, the resulting tears are soldered. Even if you have already undergone a similar procedure once, there is no guarantee that you will not have to repeat it over time. So, at risk (in addition to people with myopia) are those who suffer from diabetes, hypertension, kidney disease or feel the effects of various injuries.
To find out how serious your problems are, the ophthalmologist must check his eyesight, using special equipment to evaluate the periphery of the retina, and look at the fundus. Also one of the required procedures is the measurement of eye pressure. If at least slight detachment of the retina has been observed, laser treatment is mandatory. After all, this will help to avoid the appearance of stronger gaps and, as a result, surgical intervention.
Currently, many clinics can diagnose
retinal detachment. Treatment, the price of which will depend on the prestige of the institution, the installed equipment and the severity of the problem, is, however, not all. After all, this is a fairly serious operation, during which the doctor must correctly place the retina on the choroid and, figuratively speaking, “stick” it into place. Depending on the degree of detachment and concomitant eye diseases, the method with which retinal detachment is treated is chosen.
This can be both laser coagulation, which is used only in the initial stages, and endovitreal or extrascleral surgery. In the first case, the doctor removes the vitreous body and only then puts the retina in place. Instead, silicone oil is introduced , which can completely replace it. Treatment of retinal detachment with the second method involves gluing it without changing the natural anatomy of the eye. This can be done as follows: on the sclera, with the help of special seams, a silicone strip is attached, which weakens the tension of the vitreous fibers. In this case, the retina approaches the choroid and fits snugly to it.
If a problem occurs in the upper part of the eye, retinal detachment can be treated with pneumatic retinopexy. What it is? A gas bubble is injected into the vitreous cavity with a syringe, the purpose of which is to push the retina back so that it lies against the vascular surface. Usually, it does not take two weeks for the introduced gas to dissolve. During this time, it is necessary to carry out the procedure for attaching the retina. It can be both its laser coagulation and cryopexy.
The most suitable method of therapy is determined exclusively by the doctor, because only a specialist can evaluate what exactly will help the patient in a particular situation. In some particularly difficult cases, surgeons combine several methods to obtain the desired effect.