Retinal detachment is a serious eye condition characterized by the separation of the light-sensitive retina from its natural support. This separation prevents the retina from properly transmitting images to the brain, resulting in a significant decrease in vision.
Without prompt surgical treatment, the detachment can progress and lead to irreversible vision loss.
- Extremely myopic people between 40 and 70 years with longer eyeballs with thinner retinas.
- People with eye tears due to diabetes or severe high blood pressure.
- After eye trauma or myopia laser surgery, cataracts.
- Swelling of the eye and face.
- Pains.
- Vision disturbance.
- One to two hours depending on the complexity.
- Back to professional activity after at least one month.
- Back to sport after at least two months.
- Visual recovery can take more than 1 year before maximum stabilizing.
- 90%.
Retinal detachment surgery cost in Turkey
The retinal detachment surgery cost in Turkey varies depending on the surgical technique used:
- Sclerotomy with cerclage: Average cost $2,000.
- Vitrectomy: Approximately $4,000.
- Pneumatic retinopexy: Between $2250 and $2750.
Turquie Santé offers all-inclusive packages that include transportation, accommodation, medical care and personal assistance.
Don't hesitate to ask one of our ophthalmologists for advice and information on the various surgical techniques available.
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Types of retinal detachment
There are three major types of retinal detachment:
- Rhegmatogenous detachment is the most common. It is caused by a tear in the retina and is favored by factors such as myopia, history of cataract surgery, ocular trauma, peripheral retinal degeneration, and family history.
- Tractional detachment is caused by traction on the retina, often due to scar tissue formation in conditions such as proliferative diabetic retinopathy or sickle cell disease.
- Serous (or exudative) detachment results from an accumulation of fluid under the retina without tearing or traction. It may be associated with inflammatory eye diseases (such as uveitis),tumors, or vascular abnormalities.
Retinal detachment: Recognizing the signs
Retinal detachment can be insidious, with no symptoms at first. However, if a significant portion of the retina is detached, alarming signs may appear:
- A sudden increase in "flying spots" (small black or gray dots floating in the field of vision).
- Flashes of light (photopsia) seen in the periphery of vision.
- The appearance of a shadow or "curtain" covering part of the field of vision.
- Blurred or distorted vision that gets worse quickly.
Don't wait. The sooner a detachment is diagnosed and treated, the better the chances of preserving your vision.
Causes of retinal detachment
Several factors can cause retinal detachment:
- Eye trauma: A blow or injury to the eye or face can cause the retina to tear.
- High myopia: People with high myopia are at greater risk because of the eyeball's elongated shape and the retina's thinning.
- Surgical procedures: Cataract surgery and, in rare cases, LASIK may promote retinal detachment, especially in highly myopic individuals.
- Ocular and systemic pathologies: Ocular tumors, inflammation of the eye (uveitis),and certain common diseases such as diabetes or sickle cell anemia can increase the risk of detachment.
Diagnosis of retinal detachment
Indirect ophthalmoscopy is the gold standard for accurate detection and classification of retinal detachment. Although useful for examining the posterior pole, direct ophthalmoscopy may miss peripheral lesions. Additional examination of the peripheral retina using indirect ophthalmoscopy with scleral depression or biomicroscopy with a 3-mirror lens is necessary.
When media opacities prevent direct visualization of the fundus, high-frequency ophthalmoscopy allows indirect assessment of the retina and the presence of detachment.
Retinal detachment treatment in Turkey
To repair a detached retina, surgery is essential. This delicate operation is performed by an ophthalmologist who specializes in retinal diseases.
Several surgical techniques can be used depending on the severity and extent of the detachment:
- Sclerotomy with cerclage: This is the most common technique. The surgeon places a small silicone band, similar to a rubber band, around the eye to reduce traction within the eye and allow the retina to reattach. This procedure is often combined with other techniques to strengthen this adhesion.
- Vitrectomy: This technique involves removing the gel that fills the eye (the vitreous body) and replacing it with a gas bubble or silicone oil. These substances exert pressure on the retina, helping it to reposition itself correctly.
- Pneumatic retinopexy: The surgeon injects a gas bubble into the eye to press the retina against the inner wall of the eye and promote healing.
The choice of surgical technique depends on the ophthalmologist's assessment of your case. The goal is always to repair the retinal detachment and preserve as much of your vision as possible.
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- Floaters appear in the visual field.
- Glare (phosphene).
- Decreased visual acuity.
- Decreased field of vision (appearance of a scotoma).
Detachment of the retina requires immediate surgical management.
During the operation, the surgeon creates a scar between the retina and the choroid by applying cold nitrogen. Then, to glue the two retinal sheets back together, there are two techniques:
- Indentation: the surgeon directly glues the retinal layers together;
- Pneumatic retinopexy: The surgeon injects a gas which exerts pressure on the retina allowing it to remain stuck.
Reuniting the retina surgically does not mean immediate vision recovery. A slight decrease in visual acuity will be seen after the operation.
The success rate of retina reattachment surgery in our clinics in Turkey is 90%.
