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The surgeon uses a fiber optic light to illuminate the inside of the eye and other instruments inside the eye, such as forceps, and scissors, to do the surgery. The vitreous is removed and, therefore, this procedure is called vitrectomy. Vitreous surgery is performed in an operating room usually under local anesthesia. In such cases, vitreous surgery to reattach the retina may be necessary. Occasionally, a retinal detachment is so complicated and severe that it cannot be treated with either standard scleral buckling surgery or pneumatic retinopexy. A few days after this, the doctor will place some laser around the tear to help keep it from causing the detachment again. Then the patient is asked to position the head in certain way to aid in drainage of fluid underneath the retina. If the location of the tear and accompanying detachment is located in the upper part of the eye, then the doctor might elect to inject some gas into the eye in the office. This band stays around the eye permanently. However general anesthesia is also sometimes used. Sometimes only a small area may need a band. This procedure is usually done under local anesthesia in the operating room. If the band goes around the eye completely, it is called an encircling band. In addition, the surgeon may use a freezing probe or laser to help close the tear.
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This reduces the amount of fluid getting through the hole. This surgery places a silicone band around the eye to bring the detached retina and the eye wall closer together to relieve the traction of vitreous on the tear. Treatments of retinal detachment treated depending upon the location and extent of retinal detachment, your doctor may choose one of several options available to treat the retinal detachment. In order to definitely diagnose a retinal detachment, you need to undergo a dilated exam by your ophthalmologist