Can retinal detachment be treated with laser?

Written by Tao Yuan
Ophthalmology
Updated on September 25, 2024
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Retinal detachment can also be treated with laser therapy.

Retinal detachment is a common eye disease and a type of fundus disease. It is usually caused by eye trauma, or the development of dry breaks or degenerative areas in the peripheral retina.

Patients with retinal detachment experience symptoms such as shadows obstructing parts of their vision, distorted vision, and decreased visual acuity. If the area of detachment is small, it can be treated with laser therapy to seal off the detached area, thereby preventing the condition from worsening.

If the area of retinal detachment is large, it cannot be cured with laser therapy alone. Surgical treatment is needed to reposition the retina, and during surgery, laser treatment is also necessary to seal the tears or deformed areas on the retina to prevent recurrence of the detachment.

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Can you swim after retinal detachment surgery with a lens implant?

Retinal detachment and having an implanted lens means you cannot swim, and if you wish to swim, it must be at least six months later. There are generally two types of surgeries for retinal detachment: vitrectomy with retinal repositioning, and scleral buckling. If a lens has been implanted, it means the natural lens was removed and replaced with an artificial lens. Therefore, after surgery, it is important to rest properly, maintain correct posture, attend timely follow-up appointments, monitor visual recovery and eye pressure, and use eye drops as prescribed.

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Can retinal detachment heal by itself?

Retinal detachment refers to the separation between the neural epithelial layer and the pigment epithelial layer of the retina. Based on its cause, it can be categorized into rhegmatogenous retinal detachment, tractional retinal detachment, and exudative retinal detachment. Rhegmatogenous retinal detachment requires repositioning of the retina and closure of the break. If it is tractional retinal detachment, it is necessary to remove the cause, generally requiring vitrectomy and retinal reposition surgery. Exudative retinal detachment generally occurs due to inflammation or other irritations causing exudation or bleeding in the retina, resulting in detachment, typically without retinal breaks. This type of retinal detachment only requires treatment for the underlying disease, and aggressive treatment of the primary disease can generally lead to a cure. Therefore, retinal detachment must be treated; it cannot heal on its own.

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Can a retinal detachment be treated after one year?

If retinal detachment is discovered or diagnosed only after a year, the effectiveness of surgical treatment tends to be poorer. However, if there is no eyeball atrophy, no corneal, lens, or vitreous abnormalities at this time, surgery to reposition the retina can still be considered first, followed by assessment of vision recovery. Additionally, an ophthalmic examination should be conducted, including tests like uncorrected visual acuity, corrected visual acuity, intraocular pressure, ocular B-ultrasound, and fundus photography, to decide and predict the outcome of the surgery and post-operative conditions. Nevertheless, even if a year has passed since the retinal detachment occurred, active treatment should still be pursued, and one should not give up.

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Written by Tao Yuan
Ophthalmology
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Can retinal detachment be treated with laser?

Retinal detachment can also be treated with laser therapy. Retinal detachment is a common eye disease and a type of fundus disease. It is usually caused by eye trauma, or the development of dry breaks or degenerative areas in the peripheral retina. Patients with retinal detachment experience symptoms such as shadows obstructing parts of their vision, distorted vision, and decreased visual acuity. If the area of detachment is small, it can be treated with laser therapy to seal off the detached area, thereby preventing the condition from worsening. If the area of retinal detachment is large, it cannot be cured with laser therapy alone. Surgical treatment is needed to reposition the retina, and during surgery, laser treatment is also necessary to seal the tears or deformed areas on the retina to prevent recurrence of the detachment.

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Causes of Retinal Detachment

Retinal detachment can be categorized into three main types: rhegmatogenous, tractional, and exudative. Rhegmatogenous retinal detachment is commonly seen in the elderly, highly myopic individuals, those having undergone trauma to the eye leading to the absence of the natural lens or having artificial lens implants, and those with a history of retinal detachment or a family history of the condition, which are risk factors. Tractional retinal detachment is caused by proliferative membranes pulling on the retina. It is observed in conditions like diabetic retinopathy, central retinal vein occlusion, and other ischemic retinal diseases leading to neovascular membranes, or due to proliferative scarring from penetrating eye injuries. Exudative retinal detachment typically occurs in conditions such as Coat’s disease, uveitis, and malignant hypertension.