Procedures
Treatment of vitreoretinal diseases comes in many forms. A retina specialist may perform some of these in an office setting, whereas others require an operating room.
Surgery
Pars Plana Vitrectomy
Pars plana vitrectomy is a surgical procedure undertaken by a specialist where the vitreous humor gel that fills the eye cavity is removed to provide better access to the retina. This allows for a variety of repairs, including the removal of scar tissue, laser repair of retinal detachments and treatment of macular holes. Once surgery is complete, saline, a gas bubble or silicone oil may be injected into the vitreous gel to help hold the retina in position.
Scleral Buckle
A scleral buckle is an implant that is placed around the eye in order to repair a retinal detachment. It may be used with or without a pars plana vitrectomy. It is hidden under the conjunctiva.
Office Procedures
Intravitreal Injections
An intravitreal injection is a procedure to place a medication directly into the space in the back of the eye called the vitreous cavity, which is filled with a jelly-like fluid called the vitreous humor gel. The procedure is usually performed by a trained retina specialist in the office setting.
Laser Retinopexy
Laser retinopexy is a term that is used to describe a localized application of laser on the retina. It is commonly performed to support the retina along the border of a retinal tear.
Panretinal Photocoagulation
Panretinal photocoagulation (PRP) is a diffuse application of laser to the retina in order to cause the regression of neovascular tissue on the surface of the retina.
Pneumatic Retinopexy
Pneumatic retinopexy is technique by which gas bubble that has been injected into the eye is used to flatten a retinal detachment. This procedure is performed in combination with cryotherapy or laser retinopexy.