Name of the Procedure:

Repair of retinal detachment; by injection of air or other gas (Pneumatic Retinopexy)

Summary

Pneumatic retinopexy is a medical procedure used to repair a detached retina in the eye. It involves injecting a small bubble of air or gas into the eye, which then expands and helps reattach the retina to its proper position.

Purpose

Retinal detachment is a serious condition where the retina peels away from its underlying layer. Pneumatic retinopexy aims to reattach the retina, preserving or restoring vision and preventing blindness.

Indications

• Sudden appearance of floaters or flashes of light
• A shadow or curtain over a part of your visual field
• Severe myopia (nearsightedness)
• Retinal tears or holes identified during an eye exam

Preparation

• Patients may be instructed to fast for a few hours before the procedure.
• Avoid use of certain medications as advised by the doctor.
• Diagnostic tests like a detailed eye exam and imaging tests (e.g., ultrasound) to assess the retina.

Procedure Description

1. Local anesthesia is administered to numb the eye.
2. The eye surgeon injects a small bubble of air or gas into the vitreous cavity (the main gel-filled area of the eye).
3. The bubble presses against the detached retina, helping it reattach to the eye wall.
4. The surgeon may use a freezing probe (cryotherapy) or laser to seal any retinal tears.
5. Patients are usually instructed to maintain a certain head position to keep the bubble in place.

Duration

The pneumatic retinopexy procedure typically takes about 15-30 minutes.

Setting

This procedure is performed in an outpatient clinic or eye care center, allowing patients to go home the same day.

Personnel

• Ophthalmologist or retinal specialist
• Assisting nurses or technicians

Risks and Complications

• Re-detachment of the retina
• Infection
• Increased intraocular pressure
• Cataract formation
• Bleeding inside the eye

Benefits

The procedure can effectively reattach the retina, preserving vision. Many patients experience improvement in vision within a few days, with full benefits typically realized after several weeks.

Recovery

• Patients may need to maintain specific head positions for several days.
• Avoiding certain activities like flying or high altitudes until the gas bubble dissipates.
• Follow-up appointments are required to monitor the eye’s healing.
• Use of prescribed eye drops to prevent infection and control inflammation.

Alternatives

• Scleral buckle surgery: Involves placing a silicone band around the eye.
• Vitrectomy: Surgical removal of the vitreous gel to repair the retina.
• Pros and cons vary; alternatives may involve more invasive approaches and longer recovery times.

Patient Experience

• The procedure is generally well-tolerated with local anesthesia.
• Some discomfort or pressure may be felt during the injection.
• Post-procedure, patients might experience blurred vision and are often required to maintain a specific posture.
• Pain is usually minimal but can be managed with over-the-counter pain relief if needed.

Patients are encouraged to discuss all concerns and queries with their healthcare provider for a clear understanding and personalized advice.