Scleral Buckle vs. Vitrectomy

Retinal Detachment Threatening the Macula

This is a recent question I received via email.  It brings up a few good points about choosing scleral buckle vs. vitrectomy to repair a retinal detachment.  I receive many questions via the comments section after an article.  This time, I'm trying something new and making the question a part of the post.   Dear Dr. Randall Wong, I am not sure whether you do … [Read more...]

Vitrectomy and Scleral Buckle for Retinal Detachment | Retina Specialist Virginia

Retinal Detachment Threatening the Macula

  Vitrectomy combined with scleral buckle is the last way to repair a retinal detachment.  This combines two separate methods to repair a retinal detachment.  Both vitrectomy and scleral buckle can be used alone to fix a retinal detachment. Retinal detachments occur because the vitreous has caused a tear in the retina.  In addition, the vitreous may also be … [Read more...]

Vitrectomy for Retinal Detachment | Retina Specialist, Fairfax, Va.

A Vitrectomy Can Fix a Retinal Detachment

  Repairing a retinal detachment with vitrectomy has become more popular.  Vitrectomy can be viewed as fixing a retinal detachment from the inside of the eye whereas a scleral buckle fixes the retinal detachment from the outside. Modern vitrectomy is comparable to cataract surgery in terms of safety.  For many retina surgeons, this eye operation is faster … [Read more...]

Pneumatic Retinopexy for Retinal Detachment | Retina Specialist, Fairfax, VA

Retinal holes with retinal detachment, Randalll Wong, M.D., Fairfax, Virginia, Retina Specialist

Pneumatic retinopexy is another method to fix a retinal detachment and is an alternative method to a scleral buckle and/or vitrectomy. Pneumatic retinopexy was popularized in the 1980's and has the advantage of being performed in the office.  It is not performed in the operating room as compared to a scleral buckle or vitrectomy - both of which must be performed as … [Read more...]

Fixing a Retinal Detachment | Retina Specialist, Fairfax, Va.

A Scleral Buckle is Placed to Repair a Retinal Detachment

There are several methods to repair a retinal detachment.  None is the best or right method and retina specialists all seem to have their own preferences. In my opinion, the decision on what procedure(s) to employ depends upon the nature of the retinal detachment, skill of the surgeon and time required to perform the procedure. Methods for fixing a retina … [Read more...]

What is Anisometropia?

Image size diffence results from anisometropia, a common cause of double vision following scleral buckle surgery. Randall Wong, M.D.

Anisometropia is an imbalance in the prescription needed between your two eyes.  There are several causes of anisometropia, but the most common for a retinal surgeon is a result of a scleral buckle used to repair a retinal detachment. "Double Vision" When looking at an object, in most people, we see one single object.  In actuality the left eye and right eye each see … [Read more...]

Giant Retinal Tears

Perfluoron liquid can fix giant retinal tears. Randall Wong, M.D., Fairfax, Virginia, Retinal Specialist

I fix giant retinal tears in stages. Giant retinal tears (GRT) are a specific type of retinal detachment.  They are noteworthy for often causing legal blindness or worse.  They are particularly difficult to fix despite using traditional techniques such as scleral buckle, vitrectomy, gas, silicone oil, etc. The following video is a giant retinal tear (GRT) and how I … [Read more...]

Preventing Giant Retinal Tears

Giant Retina Tear, Perfluoron, Randall Wong, MD., Retinal Specialist

Giant retinal tears (GRT) are the worst type of retinal detachment.  These types of retinal detachment have higher surgical complications, are more difficult to fix and often lead to legal blindness or worse. Rhegmatogenous retinal detachments are the more common types of retinal detachments.  A retinal tear or retinal hole may lead to a retinal detachment.  In contrast … [Read more...]

Excercise After PVD is Safe

A Posterior Vitreous Detachment May Cure VMT

I believe exercise after sustaining a posterior vitreous detachment (PVD) to be safe.  Many doctors recommend a "no exercise" period after a PVD to decrease the risk of retinal tear and retinal detachment.  This does not make sense to me. PVD Causes Retinal Tear A retinal tear may occur after a posterior vitreous detachment, but in my opinion, the chance of a tear … [Read more...]

Success of Retinal Detachment Surgery

A retinal tear causes a retinal detachment

My idea of a successful operation to repair a retinal detachment is when I don't have to operate a second or third time.  It's not whether or not your vision improves...that is actually beyond my control!  Vision can only improve if we first reattach the retina.  In other words, visual improvement is a by-product of successful reattachment of the retina. Anatomic … [Read more...]

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