Retinal Detachment Symptoms and Treatment | How Retinal Detachment is Treated


so if you’ve ever experienced flashing
lights new floaters in your vision or progressive vision loss then you’ve
probably heard of a retinal detachment and a retinal detachment is one of the
most serious eye conditions that can be experienced it can even lead to
permanent blindness and in this video we’re going to be going over exactly the
different types of retinal detachment what the symptoms of retinal
detachment are as well as the different options for retinal detachment surgery
that’s today’s video let’s take a look hello and welcome mr. dr. Alan here from
the Doctor Eye Health show helping you learn all about the eyes and vision and on
this channel if you do a lot of different vision product reviews as well
as educational videos just like this one so if you’re new here to the channel
consider subscribing Siddhant you don’t miss any of my future videos so when
someone is experiencing a retinal detachment it can come on very slowly
but it can also happen all of a sudden typically what happens as a patient will
see a new floater developing in their vision these are the new eye floaters
that I’ve talked about in other videos but also they can experience a flash of
light usually when they experience this flash of light it’s because the retinal
gel inside the eye is actually pulling on the retina itself and that causes a
physiological kind of excitation and the brain interprets that as a flash of
light usually if that happens and it’s followed by a slow change and loss of
vision and this usually can be seen as kind of a shadowy haze
coming down from the top of their vision or maybe even rising up from the floor
and if you’re seeing this right now then you need to pause this video and call
your eye care provider right now and make an appointment because it’s really
important for you to be seen but after you make that appointment of course come
on back and continue watching this video now a retinal detachment is actually
when subretinal fluid actually accumulates behind the retina itself
separating the retina from the back wall of the eye this process can happen in a
couple of different ways the first way is called a rhegmatogenous retinal
detachment and yes that is a real word I’ll even spell that
out here for you because it is a little difficult to spell but this is the most
common type of retinal detachment and this is usually followed by some sort of
a tear or break within the retina and then the actual fluid inside the eye
such as the vitreous will then actually kind of break into the retina
itself and sneak behind the retina and cause that separation and detachment
this occurs most commonly after some sort of posterior vitreous detachment or
a PVD or from some sort of trauma to the eye
and again for most people that come into the clinic with the retinal detachment
it’s this type the second type of retinal detachment is called a
tractional retinal detachment and that’s because of proliferative vitreous
strands on the retina itself or within the gel of the eye and these vitreous
trans then kind of act almost like scar tissue that pulls itself from different
directions and that can actually pull the retina it actually toward itself and
that can actually just lift the retina off the back of the eye kind of like you
were riffing off of velcro or something like that
usually the tractional retinal detachments occur for people with some
sort of proliferative retinopathy in the back of the eye such as diabetes or
sickle-cell retinopathy or really any sort of eye disease that includes some
type of neovascularization of blood vessels in the retina itself the third
type of retinal detachment is an accumulation of serous or exudative
fluid behind the retina and this usually occurs either because of some sort of
inflammatory condition or perhaps some sort of metastatic cancer serous retinal
detachment like this usually occur due to some disease like sarcoidosis and
inflammatory condition or perhaps from some sort of metastatic cancer such as
breast or lung cancer so yes keep in mind that an eye examination can pick up
a lot of things other than just having blurred vision and needing glasses now
let’s say worst case scenario you are having a retinal detachment and there
are a couple of surgeries to correct for this the first one is called pneumatic
retinopexy see another one is called a scleral buckle and then we also have a
vitrectomy or we could use a combination of all three one of the most
common procedures that can be done actually in the clinic is called
pneumatic retinopexy and that’s actually where we put a gas bubble
inside of the eye and this gas will actually push on the retina because of
that’s opposite effect of gravity the gas bubble will push against the retina
and kind of tack it down to the ceiling then your surgeon will use a liter a
laser or some sort of cryosurgery to again scar and tack down that retina
into place the is downside to this type of procedure is
that it’s usually best for people who have a tear or a hole in their retina on
the superior part of their retina and after this is done the gas has to remain
in place for at least a week and that means that the patient who has had this
done is often laying down face-first or in some uncomfortable position to allow
that gas to push on the retina and again hold it in place and that means you’re
often laying down face flat for 16 hours a day every day for at least a week it’s
so uncomfortable in fact they have special tables and pillow specifically
designed to give to patients so that they can actually sit fairly comfortably
maybe read or see something underneath them to keep them busy all day because
otherwise you can go kind of stir-crazy but thankfully for a lot of people when
this is done the retina is in good shape and is something that we just kind of
observe and watch afterward another procedure is the scleral buckle now the
scleral buckle procedure has been around for a long time the score buckle
involves using a silicone band kind of like a rubber band that is placed around
the globe of the eye and because of this rubber band around the eye it’s actually
underneath the eye muscles it actually compresses the Isle little bit changes
the eyes shape and that actually brings the retinal or the globe closer to where
the retina is it reduces the traction of the retina that’s occurring inside and
actually gets the rena to basically stop it from progressing now this surgery is
a lot more involved and so it actually does require the patient to go into the
operating room through this procedure afterward that one of the biggest
complications is that because of the compression of the band on the eye it
causes the eye to grow a bit longer and with that elongation of the eye even
just one millimeter will equal about two and a half to 3 diopters of change so
most patients who have a scleral buckle surgery will end up becoming very
nearsighted afterward and so that can actually cause a big difference between
the right and the left eyes and that requires often a prescription change
maybe special contact lenses or perhaps even some type of cataract surgery
afterwards and if you’re kind of curious about cataract surgery and exactly how
that goes or what a cataract is I do have another video going over cataracts
and I’ll hooked it up here the YouTube card above as well as in the
description below if you want to learn more about cataracts otherwise the third
and final option is a pars plane of I Trek t’me and that’s where they
physically remove the gel from inside the eye using a couple different needles
they actually break all the vitreous strands inside and they try to relax the
actual attraction developing inside the retina one of the biggest downsides to
any of these surgeries is that retinal detachment surgeries are usually much
more complicated and any sort of surgery that has to go into the operating room
and do an intraocular surgery usually are at higher risk of complications so
it’s really important if you do have one of these procedures to listen to what
your doctor says and let them know of any other sudden changes to your
eyesight or new floaters or flashes or anything going on like that now for
serous retinal detachments usually the treatment is non-surgical we usually
identify what is going on that’s causing that type of retinal detachment and then
we simply just treat and manage that condition now I totally understand how
scary retinal detachments can be any sort of thing that could be threatening
someone’s vision and eyesight it can be a major life event and so I certainly
recommend if you’re having a tough time if you’re experiencing this again
talk to your doctor reach out to a family member get some support we are of
course as an eye doctor myself I am here as a
resource for you and I want the best for you again if you’re having any of these
symptoms and you haven’t seen a doctor already you need to stop this video and
call your doctor right away again remember that you only have two eyes so
please take care of them last question of the day have you a friend or a loved
one ever experienced a retinal detachment or have you gone through a
retinal detachment surgery go ahead and connect and share your story in the
comments section below hey thanks for watching if you liked the
video hit that like button for me share with a friend or family otherwise keep
an eye on it

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