Retinal Detachment Surgery

Retinal detachment is a serious condition of the eye in which the retina stops receiving oxygen. The symptoms of a retinal detachment can be frightening. Objects might appear to float across your eye, or a grey veil may move across your field of vision.

If not treated quickly, a retinal detachment can cause you to lose your vision permanently. Retinal detachment repair is a surgical procedure that is used to restore circulation to the retina and preserve vision.

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At a Glance

Quick facts about surgery for Retinal Detachment to help you understand the basics

Retinal detachment is treated surgically by reattaching the retina using vitrectomy, scleral buckle, or a gas bubble to seal retinal breaks and restore retinal anatomy

Transparent pricing and full aftercare support;financing options discussed during consultation

Centre for Sight is chosen for its experienced retina specialists, advanced surgical technology, and patient-centric care that delivers safe, reliable outcomes

London, Sussex, Surrey

Key Benefits

Retinal Detachment Surgery Overview

The retina is the lining of the back of the eye, which allows the eye to see. If a hole appears in the retina it will detach rather like wallpaper peeling off a wall. The retina cannot work when it is detached. The only way to repair the retina is by an operation to find and seal any holes. This may take the form of a simple laser procedure or freezing (cryotherapy) if caught early enough. If the retina is detached, a procedure called a vitrectomy may be required in addition to laser and/or cryotherapy.

Certain symptoms may indicate retinal detachment which , these include the onset of new floaters, loss of vision a shadow or curtain of visual loss, visual distortion, flashes and floaters, blurred vision and / or patchy vision.

Almost all patients with retinal detachments must have surgery to place the retina back in its proper position. Otherwise, the retina will lose the ability to function, possibly permanently, and blindness can result. The method for fixing retinal detachment depends on the characteristics of the detachment. In each of the following methods, your ophthalmologist will locate the retinal tears and use laser surgery or cryotherapy to seal the tear.

Information about Retinal Detachment

1

Treatment for Retinal Detachment

There are several types of surgery to repair a detached retina. A simple tear in the retina can be treated with freezing, called cryotherapy, or a laser procedure. Different types of retinal detachment require different kinds of surgery and different levels of anaesthesia. The type of procedure your Consultant Ophthalmic Surgeon performs will depend on the severity of retinal detachment.

2

The Consultation

Following a detailed assessment, your Consultant Ophthalmic Surgeon will discuss the best course of treatment for you. The consultant will be the same person who carries out your procedure and your checks at follow-up appointments.

The consultation process is very detailed and can take up to 2 hours. Tests and investigations are performed by nurses, optometrists and technicians and your pupils will be dilated with eye drops. You will be provided further information about the procedure and shown video animations.

You will then be seen by a very experienced fellowship-trained consultant who will evaluate your eyes and come to a final decision. The consultant will inform you about your suitability and what options there are for lenses as well as explain the process further and expectation of outcomes following surgery. You will be provided with an informed consent.

3

The Procedure

Depending on the position and extent of the detachment, there are different operative options, either externally or internally to the eye. The aim is to reattach the retina. The retina can be repaired in one of two ways:
  1. The hole can be sealed by sewing a small piece of plastic onto the outside of the eye, creating a dent in the eye ball, which will close the hole. You may be able to feel the plastic on the eye after the operation.
  2. Alternatively, it is possible to go inside the eye and, by removing the jelly in the eye (known as the vitreous), a gas bubble may be inserted to support the retina. This procedure is known as a Vitrectomy and is performed by making three small incisions in the eye. The operation takes approximately one hour to perform. The gas bubble will float inside the eye and close the hole. Laser or freezing treatment is used to seal the hole.
The surgeon will decide which type of surgery is most appropriate for each individual patient. The eye does not need the vitreous jelly – it will fill the space with a watery fluid.

Comparing Retinal Detachment Procedures

Please note that your consultant will recommend the most suitable treatment option (surgical method + lens choice) tailored to your eye health, vision goals and lifestyle.

Procedure
Type

How it works

Best For

Pros

Cons

Procedure
Type

Pneumatic Retinopexy

How it works

Gas bubble injected into the eye pushes retina back; tear sealed with laser/cryo

Best For

Simple, small, superior retinal breaks

Pros

Minimally invasive, quick recovery

Cons

Not suitable for complex cases, strict head positioning required

Procedure
Type

Scleral Buckling

How it works

Silicone band placed around eye to indent wall ad close retinal breaks

Best For

Young patients, uncomplicated detachments

Pros

Preserves natural vitreous, long term stability

Cons

More invasive, longer recovery, refractive changes

Procedure
Type

Vitrectomy

How it works

Vitreous gel removed; retina flattened and supported with gas or silicone oil

Best For

Complex or large detachments, PVR, diabetic RD

Pros

High success rate, versatile

Cons

Cataract risk, longer recovery, positioning required

Procedure
Type

Laser/Cryotherapy

How it works

Seals retinal tears by creating adhesions

Best For

Small tears or adjunct to surgery

Pros

Prevents progression, quick procedure

Cons

Not effective alone for full detachment

What are the Symptoms of Retinal Detachment?

Before the actual retinal detachment occurs there is often a tear in the retina. This may present with the following symptoms:

Frame 35 2

Symptoms:

Light flashes, which occurs mainly with jerky eye movements, or in the dark. (Light flashes and dots which occur as a result of fluctuations in blood pressure, for example when standing up or re-erecting after bending, are harmless!) Semi-transparent streaks that “migrate” with eye movements. These are usually so-called “Mouches volantes” which are annoying but not dangerous, however should always be checked by your consultant ophthalmologist

A “rain of soot”, the perception of a large amount of small black dots or floating particles sinking downwards within your eye

These symptoms can be indicative of the retina being torn. Such a tear in the retina can be “repaired” by means of a laser, similar to a weld – a retinal scar remains and at this position a very small visual field defect that typically stays unnoticed.

When the retina detaches itself in the area of the macula, central vision is compromised: with loss of clarity and detail with only blurred and distorted vision remaining.

Retinal detachment does not cause any pain. Untreated retinal detachment can lead to blindness of the eye affected.

The vitreous body shrinks with increasing age and may lift off the retina. In areas where it is conjoined with the retina, a tear might then develop

Blunt force trauma e.g. an object or a child’s finger bouncing against the eye

Result of a cataract-operation

Inflammatory processes in the choroid membrane, e.g. diabetic retinopathy in cases of diabetes mellitus

Frame 35 3

Risks/side effects (not exhaustive):

A retinal detachment can occur at any age, but it is more common in people over age 40. Every patient is different and some detached retinas are more complicated to treat than others. Some patients might need more than one operation.There is an 85-90% success rate with one operation of your retina going flat and staying flat. There is a 5-10% risk that you will need further surgery due to new breaks forming in your retina or the development of scar tissue. Possible complications could be:

Bruising of the eye or eyelids

High pressure inside the eye

Inflammation inside the eye

Cataract

Double vision

Allergy to the medication used

Infection in the eye (endophthalmitis) – this is very rare, but can lead to serious loss of sight

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Who is suitable for Retinal Detachment Surgery?

Your surgeon will speak with you about the benefits and risks involved before your procedure.

Frame 35 4

Your consultant ophthalmologist will give you eye drops to reduce any inflammation and to prevent infection. Please don’t rub your eye as this may increase infection and lead to complications.If you experience discomfort, we suggest that you take a pain reliever, such as paracetamol – take care not to exceed the dose stated on the packaging. It is normal to feel itching, and have sticky eyelids and mild discomfort in the operated eye for five to ten days following retinal detachment surgery. If you have severe pain that persists, you must call your consultant ophthalmologist.

It is also common for some fluid to leak from around your eye. Occasionally, the area surrounding your eyes can become slightly bruised – this is especially common after a scleral buckle procedure. Any discomfort should ease after one to two days.

Frame 35 5

In most cases, your eye will take about two to six weeks to heal. We will make an appointment for you to see your doctor again, usually within seven to 14 days of your operation. Try to rest while your eye is healing.

Costs and Finance Options

Please contact us to obtain your personalised quote.

Private Medical Insurance

Many of our consultants work with all the major insurance providers*

Self Pay

Pay in full for patients who prefer a straightforward approach

0% APR Financing

6-24 month payment plans with approved credit

Military Discount

5% discount for active military and veterans

Private Medical Insurance is unlikely to cover Laser Eye Surgery procedures, Implantable Contact Lenses or Laser Lens Replacement

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FAQs

Below are some of the most common questions relating to retinal detachment.

Retinal detachment occurs when the retina separates from the back of the eye, cutting off its blood supply and risking permanent vision loss if not treated promptly.

Retinal detachment is treated surgically using pneumatic retinopexy, scleral buckle surgery, or vitrectomy, depending on the severity and type of detachment.

Yes, retinal detachment surgery has a high success rate, with retinal reattachment achieved in about 85–90% of cases after one procedure.

Visual recovery may take several weeks to months, and some patients may need specific head positioning and activity restrictions during healing.

Final vision depends on how quickly the detachment was treated and whether the macula was involved; early treatment offers the best visual outcome.

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