Retinal surgery........the peripheral retina and the macula comprise the retina. The macula is the center of the retina and gives the capability to see tiny detail, read fine print and recognize faces and color. The large area that surrounds the macula is called the peripheral retina and permits peripheral or side vision. A retinal detachment occurs when the retina is pulled away from its normal position in the back of the eye. Most commonly, occurs as a result of a tear or hole in the retina, which develops as a result of a posterior vitreous separation. The retinal tear or hole allows fluid to enter the subretinal space, thus detaching the retina. The retina receives oxygen and nutrients from the underlying choroid (vascular layer) of the eye. When a retinal detachment occurs, the detached retina begins to dysfunction, and ultimately, necrosis (death) ensues as a result if the retina is not reattached to the underlying choroid. As such, a retinal detachment is an urgent condition. The detached retina should be recognized and treated promptly.
A trans pars plana vitrectomy surgery is done and usually intraocular gas( gas bubble ) is used to apply pressure upon the detached area. Usually, the patient is to keep his head faced down for 7-10 days....looking at his/her feet. (good time to invest in a small plasma tv). The gas bubble will gradually get absorbed and the retinal area will reattached. Antibiotic and pred-forte drops are usually given 4 times a day for a week or longer. Tylenol or ibuprophen as needed for discomforts of the eye. Flexeril(muscle relaxant) might also help for the back. Massage table would help in sleeping, too.
Surgery is done in an out patient setting and takes around 60 minutes. A short recovery time due to the modified anesthesia that is used, so recovery time is less than one hour.