Retinal
ablation is one of the disorders that occur in the eyes and is widely
experienced. Although many are experienced, there are still many
people who do not know the cause, symptoms, or how to handle it. The
retinal ablation experience that Zauji has experienced since 2019
provided a lot of knowledge for us.
Biologically,
the retina is a thin layer of the innermost part of the eyeball that
serves as a point of vision. Among many disorders of the retina, retinal
ablation is a disorder that is experienced. Retinal ablation is the
detachment of the retina or the lining of the mesh, from its original position, which can cause permanent blindness.
Medically,
the retina that lacks oxygen and nutrients will cause permanent
blindness so retinal detachment is a medical emergency that must be
treated immediately.
According
to reference, retinal detachment is divided into 3 types: rhegmatogenous
retinal ablation (decreased body quality of vitreous due to age),
tractional retinal ablation (the presence of abnormally growing scarring
is usually an effect of diabetes), and exudative retinal ablation (the
presence of fluid deposition under the retina due to inflammation,
severe high blood pressure, tumors, or cancer).
Causes of Ablatio Retinae
The
causes of retinal ablation are very diverse, from trauma to the eye,
inflammation, postoperative complications of cataracts, high myopia, and
glaucoma. Retinal ablation can appear as one of them due to severe
nearsightedness (a high minus in Zauji's case) or frequent lifting of heavy objects (this abstinence may not be realized by many people with
high minuses). Falling (accident) or violent impact can also aggravate
the situation.
For
some patients, cases of retinal ablation can appear suddenly without
warning, suddenly dark vision, or in both eyes, right and left, without symptoms or accompanying diseases such as diabetes mellitus or high blood
pressure, old or young.
There
are certain cases of retinal tears caused by impact trauma when young
people often participate in the race but only feel it at the age of 50
years. Other cases occur in patients of early age, 40 years, who are healthy
without any pain. Both eyes suddenly blank, could not see.
Symptoms of Ablatio Retinae
Zauji
himself did not feel pain like pain, pain, threshing, or anything. The
initial symptoms that are felt are only in the form of a presence, such
as a thin fiber scattered in the right eye that occasionally appears but
does not reduce the view. This symptom was only felt 2 weeks
after falling from the motor.
And
slowly the area of view began to decrease. The area of view starts to
be limited to half of the eye; an object only looks to the right side,
while the left of the blank alias is completely dark.
The
area of view began to decrease, as if there was a curtain covering the
view, dark and partly not all eyes. When looking at an object, the top (e.g.,
the head to the shoulder) is not visible while the bottom (e.g., the
feet) is clearly visible or maybe the left object is visible while the
right is not visible.
Handling
In
fact, the retinal tear in the case of Zauji does not hit the point of
vision so that the theory of vision can still be saved. If there is an early stage of retinal ablation, it can still be treated with laser
photoagulation therapy as part of prevention, but the ER doctor stated
that the retina is already torn and the only option is retinal ablation
surgery to reattach the retina.
Retinal
ablation can be treated with one of them with vitrectomy, retrieval of
vitreous gel (the clear body of the eye) and replacement with injected gas
or silicon bubbles as a retinal resistance to remain in position.
Over
time, the gas bubbles will be lost and replaced by natural eye fluids,
whereas the injected silicone will remain in the eyeball and
silicone removal measures (evacuation) will be taken 3–6 months later.
Another
method is scleral buckling, which is the installation of silicone belts on the
sclera (the outer part of the eye white). Silicon will bring the eyeball
wall closer to the retina so that the retina returns to its original
position. If the retinal ablation is very severe, the silicon will be
installed in a permanent eye but will not block vision.
The
determination of the method is based on the case experienced by the
patient. Sometimes your doctor will apply more than one method to deal
with retinal detachment. The faster it is treated, the more likely the
retinal ablasis will be to heal.
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