Surgery is the only treatment for retinal detachment . The goals of surgery are:
- To reattach the retina.
- To prevent or reverse vision loss.
Almost all retinal detachments can be repaired with scleral buckle surgery, pneumatic retinopexy, or vitrectomy.
Common methods of repairing a retinal detachment include:
- Pneumatic retinopexy. In this procedure, your eye doctor injects a gas bubble into the middle of the eyeball. The gas bubble floats to the detached area and lightly presses the detached retina to the wall of the eye. The eye doctor then uses a freezing probe (cryopexy) or laser beam (photocoagulation) to seal the tear in the retina.
- Scleral buckling surgery. Your eye doctor places a piece of silicone sponge, rubber, or semi-hard plastic on the outer layer of your eye and sews it in place. This relieves pulling (traction) on the retina, preventing tears from getting worse, and it supports the layers of the retina.
- Vitrectomy. This is the removal of the vitreous gel from the eye. Vitrectomy gives your eye doctor better access to the retina and other tissues. It allows him or her to peel scar tissue off the retina, repair holes, close very large tears, and directly flatten a retinal detachment.