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OPHTHALMIC TREATMENT SERVICE

  • What is the retina?

    The retina is a film of nerve cells in the eyeball that is projected onto the retina when it enters the eye. When the retina receives the image, it is transmitted to the brain via the nerve line, and we can see things. So the function of the retina is like the film in the camera.

  • What is retinal detachment?

    The retina is made up of multiple layers of cells. When the [neuroepithelial layer] and [pigment epithelial layer] of the retina are separated, it is called [retinal detachment]. Since the shedding of the retina loses its visual function due to loss of nutrient supply, if it is not treated promptly and properly, vision may be permanently damaged by cell shrinkage on the retina, leading to blindness.

    • Causes of retinal detachment:

      1) Primary:
      Most of the causes are related to deep myopia, heredity, degeneration and vitreous liquefaction. When the retina becomes thin and degenerates with small holes or cracks, the retina will fall off due to the weight of the liquid in the eyeball.
      2) Secondary:
      Caused by trauma, severe inflammation in the eye, tumors and proliferative retinopathy.
    • High-risk family:

      • 1) People with deep myopia (more than 600 degrees)
      • 2) Close relatives have had a history of retinal detachment
      • 3) Eyes hurt
      • 4) Flash constantly
      • 5) There are other problems in the body, such as Marfan Syndrome, improper diabetes control, etc.
    • Symptoms:

      • 1) Flash
      • 2) See small dots of different shapes (commonly known as "flying mosquitoes")
      • 3) Sudden vision loss or cloud occlusion
      • 4) Lost part of the field of view
      • 5) If the retinal detachment occurs in the macula, the central visual acuity will be greatly reduced, and the phenomenon of scene deformation may occur.
    • Patients with retinal detachment are not red or painful, and the degree of vision loss is related to the location of the retinal detachment, the range of time, and the degree of vitreous opacity.

      Retinal detachment is a serious ophthalmic emergency. Because the chance of natural comfort after retinal detachment is very small, patients must receive appropriate treatment, otherwise there will be a chance to cause permanent visual impairment.

  • treatment method
    1) Laser Treatment :
    If you find it early and the retina only has small holes or cracks, you can avoid the surgery by simply consolidating the retina with a laser.
    1) Retinal surgery:
    If the retina has fallen off, surgery is usually required. The purpose of the surgery is to close all retinal breaks, release the accumulated fluid under the retina, and return the detached retina to its original position. These include: extrascleral filling, vitrectomy, cerclage, condensing treatment of intraocular laser treatment, and infusion of special gas or silicone oil that can be inflated.

    Because patients have different conditions, complicated patients may need to perform more than one operation.

  • Pre- and post-operative care

    Patients should rest in bed to avoid the expansion of retinal detachment, and should continue to stay in bed at the beginning of the operation to avoid bending, bowing, colliding or rubbing the eyes and picking up heavy objects. Patients who have received gas or silicone oil into the eye need to maintain a specific head position for a period of time after surgery to prevent the retina from falling out again. If gas is injected into the eye during surgery, the aircraft cannot be used within three months. During the recovery period, in addition to using prescription drugs, you should also eat more fruits, vegetables and easily digestible foods to prevent constipation. Wine and irritating foods should not be eaten, and care should be taken to avoid sewage when washing your hair. Into the eye.

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