Retinal Detachment: A True Ophthalmic Emergency That Requires Immediate Surgery
A retinal detachment is a true ophthalmic emergency. The final visual outcome depends on:
- Whether the macula is attached or detached.
- How long the retina has been separated.
With more than 20 years of experience as a retinal surgeon, I know that timing is as critical as the location of the detachment. At Sol Eyes, we guarantee surgical treatment within 12–24 hours from diagnosis to maximize the chances of visual recovery.
Why the Macula Matters So Much
Although the retina measures about 40 mm, the area responsible for sharp vision, colour perception and reading — the macula/fovea — is only 0.5 mm. Protecting this small area is essential.
If the macula is still attached (macula-ON), rapid surgery provides excellent prognosis.
If the macula is detached (macula-OFF), vision can still be recovered, but every hour counts.
How Is the Detachment Treated?
The standard treatment is pars plana vitrectomy. The vitreous is removed, the retina is repositioned, and an internal tamponade is used:
- Intraocular gas
- Very effective.
- Prevents air travel until fully absorbed.
- Causes blurred vision during absorption.
- Silicone oil
- Allows immediate flying after postoperative review.
- Removed in a second procedure approximately one month later.
When Can I Fly?
Gas inside the eye expands with pressure changes and makes flying unsafe.
Silicone oil is safe for patients who must travel urgently.
What if My Detachment Is Macula-OFF?
In my experience, even when the macula is detached, many patients recover excellent vision. Some achieve 100% visual acuity after retinal surgery, especially once the cataract that often develops is treated.
It is not unusual for macula-OFF patients to eventually see almost as well as with their healthy eye. In combined cataract + retina surgeries, some patients even report that the operated eye sees better.
Macula-OFF does not mean permanent vision loss — but rapid and expert treatment is essential.
