Retinal Tears

Dr. Kaushal is able to detect a retinal tear upon an eye examination by dilating the eyes. In some cases, he may also order an ultrasound as this will help assess tears that are still tiny in nature. By performing these tests, an accurate diagnosis can be given as to whether the retina has experienced a tear, an early detachment, or a complete retinal detachment. In any event, surgical intervention is usually recommended.

There are numerous strategies to help repair a retinal tear. For tears that have not progressed, laser surgery is often effective for repairing or stopping the progression. During this treatment, the laser causes scarring to the underlying tissue so the tear can be sealed. This means fluid cannot make its way under the retina, which could lead to further movement. Cryotherapy offers a similar result, which is performed to “freeze” the area preventing further damage. This is often performed if laser treatment is not an option. Surgery may be necessary if a retinal detachment has developed along with the retinal tear.

One of the most common methods is via a vitrectomy, which removes the fluid under the retina. Then a gas solution is applied to help maintain the correct position of the retinal head. Although this is an older technique, it is still useful and successful to help treat tears. A scleral buckle is performed by passing a silicone rubber band around the outside of the eye, which causes the eye to slightly indent, or “buckle.” This changes some of the forces inside the eye to allow the retina to reattach. Depending on the nature, the location, and the severity of the tear, Dr. Kaushal sometimes incorporates a joint surgery using both the vitrectomy and scleral buckle technique. This often increases the likelihood of success.

While retinal tears generally do not cause long-term vision loss and can be effectively repaired through minimally invasive techniques or laser treatment, it is important that the condition is caught early. If not, a retinal detachment may occur which almost always causes vision loss or blindness. At Comprehensive Retina Consultants in Ocala, FL, Dr. Kaushal will evaluate each case promptly, offering a fast and effective diagnosis so treatment can be applied before further damage occurs.