Retinal Detachment

WHAT YOU SHOULD KNOW:

Retinal detachment is when your retina separates from the back of your eye. The retina is the part of the eye that captures light and sends information to the brain.

Lateral cut-away of the Right Eye

CARE AGREEMENT:

You have the right to help plan your care. Learn about your health condition and how it may be treated. Discuss treatment options with your caregivers to decide what care you want to receive. You always have the right to refuse treatment.

RISKS:

Your vision may not return to the way it was before your surgery. You may get an infection after surgery. You may need more than one surgery to reattach your retina. Surgery may not be successful and you can lose your vision. Without treatment, you may lose your vision permanently.

WHILE YOU ARE HERE:

Informed consent

is a legal document that explains the tests, treatments, or procedures that you may need. Informed consent means you understand what will be done and can make decisions about what you want. You give your permission when you sign the consent form. You can have someone sign this form for you if you are not able to sign it. You have the right to understand your medical care in words you know. Before you sign the consent form, understand the risks and benefits of what will be done. Make sure all your questions are answered.

Oxygen:

You may need extra oxygen if your blood oxygen level is lower than it should be. You may get oxygen through a mask placed over your nose and mouth or through small tubes placed in your nostrils. Ask your caregiver before you take off the mask or oxygen tubing.

Medicines:

  • Eye drops: These are used to dilate your pupil and relieve pressure. They may also be used to decrease inflammation and treat or prevent infection.

  • Pain medicine: Caregivers may give you medicine to take away or decrease your pain.

    • Do not wait until the pain is severe to ask for your medicine. Tell caregivers if your pain does not decrease. The medicine may not work as well at controlling your pain if you wait too long to take it.

    • Pain medicine can make you dizzy or sleepy. Prevent falls by calling a caregiver when you want to get out of bed or if you need help.

Tests:

  • Ophthalmoscopy: Your caregiver uses an ophthalmoscope to see the back of your eye. An ophthalmoscope is a magnifying instrument with a light.

  • Slit-lamp test: Your caregiver uses a microscope with a strong light to check your eye during and after surgery.

  • Ultrasound: An ultrasound uses sound waves to show pictures on a monitor. An ultrasound may be done to check the condition of your eye during or after surgery.

Surgery:

  • Cryopexy: Your caregiver freezes the area around the hole or tear in your retina.

  • Laser surgery: Your caregiver uses a laser to burn the area where the retina detached. The burned area forms a scar that connects the retina to your eye tissue.

  • Pneumatic retinopexy: Your caregiver injects gas bubbles into the eye. This creates pressure in the eye to push the retina back into place.

  • Scleral buckling: Your caregiver sews a piece of silicone, plastic, or sponge onto your sclera. The sclera is the white outer layer of your eye. This pushes the sclera toward the detached retina to hold them together.

  • Vitrectomy: Your caregiver removes the cloudy or bloody vitreous gel that fills the center of your eye. The gel is replaced by saline (salt water) to maintain normal pressure in your eye. Your caregiver may then do a scleral buckling to hold everything in place. He may add gas or liquids to help the retina reattach and seal in the correct place.

© 2014 Truven Health Analytics Inc. Information is for End User's use only and may not be sold, redistributed or otherwise used for commercial purposes. All illustrations and images included in CareNotes® are the copyrighted property of A.D.A.M., Inc. or Truven Health Analytics.

The above information is an educational aid only. It is not intended as medical advice for individual conditions or treatments. Talk to your doctor, nurse or pharmacist before following any medical regimen to see if it is safe and effective for you.

Learn more about Retinal Detachment (Inpatient Care)

Hide
(web5)