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Dr. David Lederer

MD FRCSC

Ophthalmologist

Montreal, QC

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Dr. Darren Albert

MD, CM, FRCSC, CPSQ, Dip. ABO

Ophthalmologist

Montreal, QC

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Dr. Michael Kapusta

MD, FRCSC

Ophthalmologist

Montreal, QC

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Latest Video

Retinal Detachment - Recovery Equipment

Latest Health Talk Comment

Dr. Michael Kapusta

, Ophthalmologist, at Eye Health MD | Ophthalmology Clinic | Montreal in Montreal, QC commented on: Retinal detachment detected in a routine eye exam..

Recovery from pars plana vitrectomy indeed often involves maintaining a specific head position, as directed by the patient's surgeon. The exact positioning required can vary depending on factors such as the location of retinal tears or breaks addressed during the surgery. In some cases, patients may need to position one side of their head downward, while in others, strict facedown positioning may be necessary. During vitrectomy, different gases may be used to help reattach the retina. The choice of gas can affect how long the patient needs to maintain a certain head position and may also impact restrictions such as air travel. Gases used in vitrectomy have varying durations of action, and patients will typically be advised by their surgeon on the specific instructions for post-operative care based on the type of gas used and the location of retinal tears. While the success rates for retinal detachment repair procedures such as pneumatic retinopexy, scleral buckle, and vitrectomy can be high, ranging from 80 to 90 percent, there is still a risk of recurrence. Patients should be aware of the potential symptoms of recurrent detachment, such as sudden onset of flashes, floaters, or vision changes, and seek prompt attention from their retinal surgeon if they experience any such symptoms. Recurrent detachment may require additional procedures or interventions to address, and close monitoring by an ophthalmologist is essential for managing the condition effectively.

See the whole conversation: Retinal detachment detected in a routine eye exam.

Latest Health Talk Comment

Dr. Michael Kapusta

, Ophthalmologist, at Eye Health MD | Ophthalmology Clinic | Montreal in Montreal, QC commented on: Retinal detachment detected in a routine eye exam..

Retinal detachments can indeed be repaired using three main procedures: Pneumatic retinopexy: In this procedure, the surgeon injects a bubble of gas into the eye to push the detached retina back into place. The surgeon then treats the retinal tear with cryotherapy (freezing) or laser therapy. This method is often suitable for certain types of detachments and tears. Scleral buckle surgery: This procedure involves placing a silicone band (scleral buckle) around the eye, which indents the eye wall. By doing so, it relieves traction on the retinal tear and allows the retina to reattach. Scleral buckle surgery is typically performed in an operating room setting. Vitrectomy: Vitrectomy is the most common method for repairing retinal detachments. During this procedure, the surgeon enters the eye with specialized instruments including an infusion line, light source, and a vitrector (cutting device). The vitreous gel inside the eye, which may be pulling on the retina and causing detachment, is removed. This allows the surgeon to access and repair any retinal tears, and sometimes additional procedures like membrane peeling or gas or oil injection may be performed to aid in reattachment of the retina. Each of these procedures has its indications and potential risks, and the choice of which method to use depends on factors such as the type and severity of the retinal detachment, as well as the patient's overall eye health and medical history. Your ophthalmologist will determine the most appropriate treatment approach based on your individual circumstances.

See the whole conversation: Retinal detachment detected in a routine eye exam.