Therefore, if any new symptoms arise following treatment of a retinal tear the retina should be re-examined and even in the absence of new symptoms continued follow up after treatment of a retinal tear is needed. The timing of surgery for a retinal tear depends on a number of factors, including whether it is symptomatic or not (picked up on a routine exam or because the patient noticed floaters or flashing lights ), its location, its size, and its character. Diagnostic testing A thorough and timely examination by a retina specialist using scleral depression (applying slight pressure to the eye) and/or a 3-mirror lens is the most important step in diagnosing a retinal tear. Unfortunately, occasionally even after treatment of a retinal tear, retinal detachment may still occur. Prior eye surgery There is no way to predict who might develop a retinal tear or when it might occur. Learn more about the most common surgical options. Treatment of retinal tears is usually successful in preventing retinal detachment. Retinal tear surgery may be required when the retina is torn. The treatment starts the healing process immediately, however, the full seal does not occur for up to 4 to 6 weeks and your ophthalmologist may have you limit your activities during that time. Both laser photocoagulation and cryotherapy are usually performed in the doctor’s office. Left untreated, the liquid vitreous can pass through the tear into the space behind the retina, causing the retina to become detached. Whether laser photocoagulation or cryotherapy is used, as the eye heals a scar will form sealing the retinal tear and in most cases preventing a retinal detachment from occurring. As the vitreous separates or peels off the retina, it may tug on the retina with enough force to create a retinal tear. Cryopexy is commonly used to treat retinal tears or as part of a larger treatment. Cyrotherapy is a procedure where a freezing probe is placed on the surface of the eye and used to create a freeze extending to the retina surrounding the retinal tear. Typically, recovery time is minimal and the effects are long-lasting. Laser photocoagulation is a procedure where a special light is directed to the retina and used to create burns in the retina surrounding the retinal tear. Retinal tears can be treated using either laser photocoagulation or cryotherapy (freezing). The symptoms of retinal detachment often come on quickly. ![]() If you have symptoms of a detached retina, it’s important to go to your eye doctor or the emergency room right away. Retinal detachment is a medical emergency. ![]() A dark shadow or curtain on the sides or in the middle of your field of vision. The hole in the wallpaper usually needs to be repaired before it gets larger and leads to the wallpaper bubbling off the wall. Flashes of light in one eye or both eyes. An analogy would be a hole that has developed in a room’s wallpaper. Most retinal tears need to be sealed so that they do not become larger, or allow fluid to track under and lift off the retina (retinal detachment). Patients with a retinal tear will usually, but not always, experience flashes or floaters. As the vitreous pulls away from the retina, the jelly can sometimes pull hard enough to cause a hole or tear to develop in the retina.
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