In this video, Dr. Mário Bulla, renowned ophthalmologist and retinal surgeon, addresses a very relevant topic: the recovery of vision after retinal detachment. Based on an interesting comment from a viewer, he explores the possible reasons behind still poor vision even after successful surgery with silicone oil.
Dr. Bulla highlights the importance of the state of the macula before surgery, explaining that if the macula was already detached, it is expected that vision will not completely return to normal after surgery. However, he emphasizes that there are surprising cases of patients who have recovered significantly.
Throughout the video, Dr. Bulla mentions the presence of cystoid macular edema as a common complication after retinal detachment surgery. He highlights the importance of OCT (optical coherence tomography) scanning to identify this condition and discusses possible treatments, such as eye drops and intravitreal corticosteroid injections.
In addition, Dr. Bulla addresses the possibility of epiretinal membrane and silicone oil toxicity as factors that may impair vision and require additional intervention.
This video is a comprehensive summary of various situations that can occur after retinal detachment. While it is not possible to address all circumstances, Dr. Bulla encourages viewers to leave comments with additional questions and to subscribe to the channel for more retina and vitreous related content.
FAQ
Question 1: Why can vision be poor even after retinal detachment surgery?
Answer 1: Vision can be impaired even after retinal detachment surgery due to several factors, such as the state of the macula before surgery and the length of time the macula has been detached. If the macula has been affected by the detachment, it is expected that vision will not completely return to normal after surgery.
Question 2: Is it possible to improve vision after retinal detachment surgery?
Answer 2: Although recovery of vision after retinal detachment surgery can take time, some patients make a surprising recovery. It is important to be patient, as vision improvement may occur gradually over several years. In addition, treatment of additional problems such as cystoid macular edema can improve vision in some cases.
Question 3: What is cystoid macular edema and how can it affect vision after retinal detachment surgery?
Answer 3: Cystoid macular edema is a condition in which fluid accumulation occurs in the macula, the central area of vision. After retinal detachment surgery, it is common for patients to experience this type of edema. Cystoid macular edema can cause blurring and distortion of vision. Treatment may include the use of eye drops or intravitreal injection of corticosteroids.
Question 4: Are there other complications that can affect vision after retinal detachment surgery?
Answer 4: Yes, apart from cystoid macular edema, other complications can affect vision after retinal detachment surgery. For example, the formation of an epiretinal membrane in the macula can cause blurring and distorted vision. In some cases, additional surgery may be required to remove this membrane. In addition, toxicity from the silicone oil used during surgery can also impair vision.
Question 5: What can be done to improve vision after retinal detachment surgery?
Answer 5: To improve vision after retinal detachment surgery, it is important to perform examinations such as OCT to identify possible problems such as cystoid macular edema or the presence of epiretinal membranes. Depending on the case, treatment may involve the use of eye drops, intravitreal corticosteroid injections or even additional surgery. It is essential to consult an ophthalmologist for an accurate diagnosis and an appropriate treatment plan.
0:00:00.000 Introduction and importance of the macula
0:00:14.700 Vision recovery after retinal detachment surgery
0:00:29.519 Recommendations for vision recovery
0:01:00.780 Possible complications and treatments after surgery
0:03:34.380 Other considerations and approaches after retinal detachment
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This video as well as its comments do not replace medical consultation and has only educational purpose, and should not be used for decision making, being necessary for this the face-to-face consultation with the specialist doctor.
Author:
Dr. Mário César Bulla
Cremers 28120
Ophthalmologist - Retinologist
www.clinicabulla.com.br
www.especialistaemretina.com.br
Instagram: @retina.bulla
Video URL: • Visão ruim após cirurg...
@RetinaandVitreous
#retina
#ophthalmology
#vision
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