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But even with such a high rate of success for surgery, it is important to act quickly. The longer you wait to have surgery, the lower the chances that good vision will be restored. Once the retina loses contact with its supporting layers, vision begins to get worse. An eye doctor (ophthalmologist) who specializes in retinal detachments will usually perform surgery within a few days of your being diagnosed with a detachment.
How soon you need surgery usually depends on whether the retinal detachment has or could spread far enough to affect central vision. Once the macula, the part of the retina that provides central vision, loses contact with the layer beneath it, it quickly loses its ability to process what the eye sees.
Your doctor will decide how soon you need surgery based on the result of the retinal exam and the doctor’s experience in treating retinal detachment.
Treating a retinal tear may be useful if the tear is likely to lead to detachment. Symptoms such as floaters or flashing lights are key factors in deciding whether to treat a tear. A tear that occurs right after a posterior vitreous detachment (PVD) with symptoms is usually much more dangerous and more likely to progress to a retinal detachment than one that occurs without symptoms.
In deciding when to treat a retinal tear, your doctor will evaluate whether the torn retina is likely to detach. If the tear is very likely to lead to detachment, treatment can usually repair it and prevent detachment and potential vision loss. If the tear is not likely to lead to detachment, you may not need treatment.
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The most common methods of repairing a retinal detachment include:
The most common methods of repairing a retinal tear include:
The decision about when to treat a retinal tear is based on whether the tear is likely to progress to a retinal detachment. If the tear is not likely to lead to a detachment, treatment may not be necessary.
You have several surgical options to repair a retinal detachment. Their success in restoring good vision varies from case to case. The cause, location, and type of detachment usually determine which surgery will work best. Other conditions or eye problems may also play a role when you choose the best type of surgery.
You may need more than one surgery to reattach the retina. The growth of scar tissue on the surface of the retina often leads to failure of retinal detachment surgery.
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