Retinal Detachment Symptoms and Treatment | How Retinal Detachment is Treated
27
November

By Adem Lewis / in , , , , , , , , , , , , , , , , , , , , , , , , , , , , /


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


36 thoughts on “Retinal Detachment Symptoms and Treatment | How Retinal Detachment is Treated

  1. Off topic and no time to watch your video just yet. I wanted to thank you for recommending Dailies Total 1 contacts. I recently switched to them and I love them!!! Thank you : )

  2. Cross my Heart, hope to die, stick a needle in my eye.

    Here's the whole story of why I needed eye injections. It was not because I told a lie! I think? Grab a coffee, this is a tad long…

    Back around 1994 I developed a dark spot in the central vision area (macular area) of my right eye called Central Serous Chorioretinopahy. A visual impairment, often temporary, usually in one eye, mostly affecting males in the age group 20 to 50. I was in my early 20’s. The disorder is characterized by leakage of fluid in the central macula, which results in blurred or distorted vision. A blind or gray spot in the central vision is common, along with flashes of light. This is the symptoms that I experienced. No pain but my eye strained especially while night driving. It went away after taking a glaucoma medication for about six months. The medicine had weird side effects like seriously tingling (pins and needles) of the hands and feet. At the time it was the only known treatment other than laser surgery. Laser surgery would have left the retina completely destroyed (blinded) in the macular area but it was believed to be the only other way to stop the spread of the problem and expected detachment of the retina. It was not known at that time that this condition would usually resolve on its own.
    The cause was and is still unknown?

    Fast forward to 2009.

    In a very few unlucky cases, some of the people who had Central Serous Chorioretinopahy in their past get a similar disorder called Choroidal Neovascular Membranes (CNVM) that can have a more disastrous outcome if left untreated.

    Choroidal neovascularization is the creation of new blood vessels in the choroid layer of the eye (in the same macular area.) Hemorrhaging of the new blood vessels is what causes the onset of symptoms of CNVM’s. CNVM's can create a sudden deterioration of central vision, noticeable within a few weeks.
    Another cause of  CNVM's is Age Related Macular Degeneration.

    TREATMENT
    The treatment I received wass an off label use of a colon cancer medication Bevacizumab (trade name Avastin) used to stop blood vessel growth in metastasized colon tumors. Wait, what? The company that made this medication had reformulated the medication for use in the eyes for CNMV's. The reformulated medication was not covered buy my insurance company and cost in excess of $2000.00 a dose (about 2 drops worth that I like to call “liquid gold”) with a minimum of 4 to 6 doses required! Some unfortunate people have required 24 or more doses. It's administered by intravitreal injections (directly into the eye) on a 4 to 6 week schedule.
     
    Because of the cost, I elected to have the non-reformulated version of the drug injected into my eye. This original concoction of the drug is used in much larger quantities for colon cancer treatment and therefore cost substantially less for the small doses that are required for use in the eye. It was repackaged by the pharmacy for this and was not, at the time, an FDA approved use; and it too (although cheaper) was not covered by my insurance. It cost me $200 a shot if I remember right. The good news is that after the first injection a significant improvement in my vision resulted. Six or so shots later the problem resolved and left minimal scarring and slightly distorted vision.

    And That's The Truth! No More Needles PLEASE!

  3. I had a partial retinal detachment three years ago. The eye dr. at Walmart told me to go see a nother dr. immediately.This dr. did a laser surgery. Then I was on eye drops for a very long time. I was told that the eye drops had steroids in them which then gave me cataracts. After cataract surgery my eye developed some kind of a film like material over the back of the eye and I opted for another surgery. The dr. goes in and peels the film off the back of the eye. My surgeon told me my film was the biggest he had ever seen and it all came off in one piece. Initially was told this surgery was not always that helpful and my sight improvement would be limited. I had inserts placed in my eye prior to the peel surgery and now my eye sight is 20/15. I am very happy. Best wishes to you all!

  4. Hey I have an important question, recently I have had some vision improvement (Withing a span of 3 weeks) is this normal for my age? I'm turning 15 this thanksgiving!

  5. I suffer with a retinal detachment. I end up getting the scleral Buckle surgery. Everything that was mentioned in this video in terms of the scleral Buckle was facts. It has now been six months since my surgery. Eye has healed pretty well but the vision sucks.

  6. VRA Fam here! Love the intro and animations in your video. I used to see a dot after looking at the eclipse as a kid. Havent seen the dot in over 20 years thank God. HD my eyes checked and apparetlyhave 20/21 vision. Thanks for the informative video!

  7. April of this year, I saw my eye doctor for my yearly eye exam. I opted out of dilating my eyes and instead used a machine to take pictures of the inside of my eye to keep records and a better view. My eye doctor said that a retina on the corner left of my eye looked really thin and possibly a hole, so I was referred to an eye specialist. What's the first thing I do when I get home? Go on google and I convinced myself that I was going blind. I saw the eye specialist, and after he dilated my eyes, he said everything was fine. The picture of the retina was just blurry, so my eye doctor must not have noticed that and assumed it was thin.

    But I can't see far and I have floaters so my eye doctor needs to see me more. I'm only 26 hahaha.

  8. after an injury with a guitar string, I have noticed this milky looking fluid swirling around my eyes… is that the same as the tracktional retinal detachment? … Also I had cataracts removed in 2003, so if anybody has questions about how it goes I'm willing to help.

  9. I copied and pasted my comment from your video on floaters from July 2018. Thought that it was relevant to this video too, and that it was lost in the past on the other video.
    This happened years ago. All of a sudden I had what looked like a huge piece of seaweed in my eye. I took out my contact lens, assuming that I had some gunk on my contact. The seaweed was still there! I raced to the closest ophthalmologist who examined me and told me to come back in two weeks if it had not resolved. Several days later I still had the seaweed, and had developed a flashing light in that eye. Upper right quadrant. Googled it and was alarmed to read that I should go to the ER immediately. Instead, not trusting an ER doctor with my eyes, I waited a few hours until my ophthalmologist from my hometown would be at work.
    Five minutes after talking with him he called me back, had already made an appointment for me with a prominent retinal specialist in the city I was in, and told me to go NOW! Based on what I had told him about the symptoms he told me exactly what the problem was, and what the treatment would be. Within 15 minutes I was getting cryotherapy to repair a torn retina. The doctor who did the procedure told me that if I had waited 2 weeks I would definitely have had a detached retina. So… the guy who examined my eye in his office couldn't do what my REAL doctor was able to do after a long-distance phone call from 2,000 miles away.
    I enjoy your videos and your concise delivery. Thanks.

  10. Quick question Doc, I’m -1 in my left eye which is my stronger of both eyes and I am -5 in my right which is significantly weaker. Any reason why my eyes are this drastically opposite?

  11. I was actually planning on looking for one of your videos talking about this. About a week ago I had my second PVD. In the other eye than the first one 4 years ago. And after cataracts surgery. It started with "shooting stars" in the peripherical vision, lateral and up, then boom! big floaters! They were so fresh that on the largest one (btw they're still wiggling not rigid yet) that is kind of like a circle I could see it was dark red, when I was looking at a white background. I go to the local Eye Institute here – and it's an absolutely horrible place. Unfortunately my eye surgeon wasn't in when I called, and the "triage" ophtalmologist asked if I was still seeing shooting stars, I said not since morning, and they said "oh it's over, we'll schedule you with your eye surgeon on December 6". This, to someone who had scleroplasty (kind of like the rubber band you're talking about but it's a procedure specific to Eastern Europe and was done with cadaver sclera, 40 years ago) in the same eye the PVD was, one PVD already in the opposite eye, and fresh bilateral cataracts surgery. I'm now freaked out and every half an hour I check if I lost any field of vision.

  12. Hello Joseph. I’ve been waiting for you to cover this, and thankfully you’ve done a superb and detailed posting. Thank you so very much. Many years ago, I had no symptoms for detached retinas whatsoever, however during my routine eye exam (in the UK) my optometrist suspected a detached retina and sent me straight to Moorfields eye hospital in London. It transpires that both my retinas were about to detach and I had surgery the next day requiring a schleral buckle and cryo treatment to seal the tears. The procedure on each eye was done a month apart. Frankly, these procedures saved my eyesight. I simply urge everyone reading this to ensure that they attend their annual or biannual eye examinations, if it all humanly possible: if spotted early enough detachments can be rectified – your eyesight may possibly depend upon it.

  13. Bi-lateral cataracts, with retinal detachment in one eye, and giant retinal tear in the other at the age of 21 (3 years ago). Had the detachment treated with a scleral buckle. The GRT was repaired via vitrectomy and insertion of heavy liquid, the gas bubble, with a laser used to repair the actual tear. The scleral buck was more painful I recover and to this day still seems to cause frequent headaches.

  14. I have had a lifetime history of holes in my retinas–a congenital condition. Three years ago, after cataract surgery, I developed a retinal tear about 3 1/2 months after the cataract surgery. It started off slow, with me having a feeling that something was wrong in the periphery of my vision. I went the to the ophthalmologist the next day, and he sent me straight to the emergency room at Mass. Eye and Ear. A couple of days later I had a vitrectomy, the retina was repaired, and the surgeon did a 360 degree tack-down of all weak areas in the retina that might detach in the future. I had a two-month gas bubble inserted that actually lasted 10 weeks. I rented a victrectomy chair for the week, which allowed me to read, do computer work, and actually watch TV too through a mirror that came with it that lets you see the TV image correctly. You can take a 5-minute break every hour. The worst part was sleeping face down. They give you donut pillow to put your face into, but it's uncomfortable.

    I have to say that the two days before the surgery was one of the most traumatic times of my life. Once fluid gets under the retina, it starts moving faster and faster. The day before the surgery I was seeing lightening flashes all night long. By the time they wheeled me into the operating room there was blood in my eye and the tear was nearing the macula, which would have been a disaster. I can't emphasize enough that if you start seeing flashes or a shadow in your periphery, time is of the essence–stop whatever you are doing and get yourself examined. It takes time to schedule the surgery and you may only have a few days left–don't waste any time!

    One thing to be aware of with the vitrectomy is that you can't fly while you have the bubble in your eye–the change in air pressure will cause the bubble to expand. I know someone who had a retinal detachment while visiting Nashville, and not only couldn't fly home, but couldn't even drive home for a while because it meant driving on highways over mountains.

    I have other complications with that eye, but the vitrectomy and retina re-attachment was successful, and so far so good. One benefit of the vitrectomy is no more floaters in that eye. The surgery itself was painless, and you are technically awake for it all. I could see all the little instruments in my eye. There was a little scissors, and vacuum cleaner, and a laser. There were some great light shows produced by the laser. It was day-surgery, and when it was over, my wife drove me home.

    I'm pretty sure that a few decades ago this surgery would not have been possible. The machinery and instruments they have are miraculous. They put ports in your eye to insert tiny instruments. There are machines that exhange fluids and gasses in your eye all while keeping it properly inflated. The surgeons work through microscopes. And when it's all done, you get up and go home. I thank God every day and the countless men and women who dedicate their lives and careers to eye health and have made this all possible. God bless you all!

  15. Don't know why but you've showed up in my recommended. Figure I should ask you since it's relevant to your channel. Is there a way to fix Lazy Eye? Most doctors just go and tell me to fuck off(my words, not theirs. They were far more polite) when I asked about it.

  16. THANK YOU. Having vitrectomy in December. I dread the face down time more than anything else. I have a macula hole. I'd never heard of this condition until I got it. I noticed my vision seemed to get worse over a period of weeks, so I made an appointment with the eye Dr. A few days before the appt, I was looking at the mini blinds on my kitchen window, and they were bending as I watched them. Called my eye Dr. Back and got an urgent appointment with an ophthalmologist, who told me what was happening. Got another urgent appt with retina surgeon two days later. We did a wait and see for a month but it never got better. Having surgery in December. It's so weird, like looking through a kaleidoscope or a whirlpool filter. My vision is now 20/200 I can't see anything on an eye chart. Unfortunately, this is my 'good eye', I have myopia much worse in the other eye.

  17. I stumbled across your videos by chance and am now a new subscriber.. Please do a video one extropia and the surgery to fix it!! My 7 yr old is having the surgery after christmas and I wanna learn more!

  18. Thanks for the video.
    I had many visible floaters in the early 2000s but then they disappeared. I might have faint floaters now.
    I did have temporary impaired vision then went to doctor who found my retina is thinner than other people's retinas my age, 51. Recent eye exam
    I was advised to monitor symptoms and report immediately if I get light flash, floaters and a third possibility forget what it was.

  19. My mom and I have both had retinal detachment “scares“. Luckily neither of us had this condition. I had what is known as an ocular migraine, and the aura presented as the dark half circle shadowing part of my vision. I did go into my eye doctor and he confirmed that everything with my retinas were fine. And my mom had an episode of ocular neuritis, which included flashes of light. Her eye doctor was also amazing and did everything necessary to check her retinas and eyesight as well. Can I just say I have had two of the most awesome eye doctors for my mom and I!

  20. I have had small holes in the retinas of both eyes. Laser was used to repair. I am wondering about the risks involved when cataract surgery is necessary.

  21. So on 13th Nov i went for my routine eye examination and doctor suggested me to have a dilated examination in which the retina specialist found out that i have Retinal Holes in both eyes amd suggested to have LASER surgery . I had no symptoms of floaters or black shade before the procedure . After having it done i see floaters in bright daylight . I don't know if it's normal or something serious

  22. Thank you for this video. I am extremely nearsighted and have been wearing glasses since I was 8 years old- I had progressive myopia and my eyesight changed every year so I was constantly getting glasses. I am 66 years old now and I had cataract surgery back in September and I have been constantly warned that I am a good candidate for Retinal Detachment but they were unable to describe exactly what a flash of light might look like- I have a ton of floaters and am always seeing things in my peripheral vision. About 3 weeks ago I went in to see my eye doctor to see if my eyes had stabilized enough to get glasses and to tell them that I had new long floater in my left eye. After the examination the doctor said that I had a blood spot on my retina and that some gelatin like mass had come loose from the back of my eye and that was what the flooter was. He rescheduled my appointment for 10 days later to recheck and at that appointment he said that there was no sign of retinal detachment and that the blood spot was gone but that there was nothing they could do about the flooter-that I would eventually get used to it. I finally got a prescription for glasses but am afraid I cannot afford them until March when I can pay with tax return money- so I am stuck using magnifying glasses for close up work, my distance vision is pretty good right now.

  23. I’m 21 and had a spontaneous RRD 6 months ago. All of my eye research is probably why YouTube recommended this channel. I didn’t have the typical symptoms. All I experienced was a line in my vision that was sort of like a fishing line going through the center of my vision in my right eye, and it did sort of flash as I moved my eyes around. Even though I had a typical symptoms, I knew exactly what it was. It was a particularly horrifying experience because my left eye is a lazy eye with vision less than 20/200. I always had really good vision in my right eye, only -1.75 nearsighted and minor astigmatism. I always expected to live my life with just one regular but good eye. I went to a regular ophthalmologist then was referred to a retina specialist where I was told I would need surgery within 24 hours. He performed a scleral buckling procedure and vitrectomy. The total surgery was about six hours, and I had to keep my face down for two weeks. I also had silicone oil in my eye instead of the regular gas bubble, so I had to Sleep facedown for six months. Now the oil has been removed and cataract surgery has been done, but even though the retinal detachment did not involve the macular I have a macular pucker, which is a layer of scar tissue that develops over the macular. I also have many visual field defect’s making it difficult to see peripherally. I’m just happy I was able to not go completely blind

  24. Hi there. I have high myopia and astigmatism, from May this year I experienced eye floaters and I can’t say flashes of light, it’s like a “bright rolling floater in my bottom lash line coming from the inner corner and disappears in the outer corner”, I went to 3 doctors, did the pupils dilation and they haven’t found anything, I read about PVD but I don’t have that as I mentioned nothing it’s wrong. What can it be? Did you have and of your patients experiencing something like that? Many thanks

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