Why This Matters
Being told you need retinal detachment surgery can feel scary. Patients often worry: Will it hurt? Will I see again? How long will recovery take? These are normal questions.
At Dr Roelof Cronje’s practice, we believe in giving honest, straightforward answers. No complicated jargon—just clear explanations so you know what’s ahead.
If you’d like to first understand what retinal detachment is, start here: Everything You Need to Know About Retinal Detachment.
1. Will the surgery hurt?
No. You’ll be given an anaesthetic so you won’t feel pain during the operation. Afterwards, your eye may feel a bit scratchy or sore, but this usually settles and can be controlled with medication.
2. How long will I be in surgery?
It depends on the treatment:
- Laser or freezing treatment for small tears: often less than 30 minutes.
- Vitrectomy or scleral buckle: usually 1–2 hours.
- Gas bubble procedure (pneumatic retinopexy): about 30–45 minutes.
Want to understand more about the different conditions that affect the retina? Visit our page on Retinal Disorders.
3. What kind of surgery will I need?
It’s not one-size-fits-all. Your treatment depends on what type of detachment you have:
- Laser or freezing (cryotherapy): seals small tears.
- Gas bubble: helps push the retina back into place.
- Scleral buckle: a soft band placed around the eye for support.
- Vitrectomy: removes the gel inside the eye and replaces it with gas or oil.
If diabetes has affected your eyes, learn more here: Diabetic Retinopathy.
4. Does the surgery usually work?
Yes—about 9 out of 10 patients have their retina successfully reattached with one operation. Some people may need a second procedure. The sooner the surgery is done, the better your chances—especially if the centre of the retina (the macula) is still attached.
Read more about the macula in our article on Macular Degeneration.
5. Will my sight come back?
It depends. If surgery is done before the macula detaches, vision can often recover very well. If the macula was already off, your sight may improve, but probably won’t be as sharp as before.
For help recognising what’s normal as eyes age—and what’s not—see: Age-Related Vision Changes.
6. How long until I can see properly again?
Healing takes time. Most people notice improvement within a few weeks, but full recovery can take several months. Patience and follow-up visits are key.
Sometimes other health problems slow down recovery. Learn how Autoimmune Disorders Affect the Eyes.
7. Why do I need to keep my head down after surgery?
If a gas bubble is used, you’ll need to keep your head in a certain position—often face-down—for a few days. This helps the bubble press the retina back into place.
Noticing sudden flashes or floaters is often the first sign of trouble. Read: Floaters and Flashes: When Should You Be Concerned?.
8. When can I drive again?
Not right away. You’ll need to wait until your ophthalmologist confirms your sight is safe for driving. For some people it’s weeks, for others months.
Did you know eye conditions can run in families? Learn more: The Role of Genetics in Eye Health.
9. What risks should I know about?
Like any surgery, there are risks:
- Infection
- Bleeding
- Cataract (common after vitrectomy)
- High eye pressure (glaucoma)
- The retina detaching again
Learn more about Cataract Surgery Options and Glaucoma as possible related conditions.
10. What if I decide not to have surgery?
Unfortunately, the retina won’t reattach by itself. Without treatment, permanent vision loss is almost certain. Surgery is the only way to save your sight.
If you’re also managing diabetes, here’s a helpful read: Diabetic Retinopathy and Aging.
Final Thoughts: We’re Here to Help
Retinal detachment surgery sounds daunting—but remember: most patients do very well. The key is acting quickly, getting the right treatment, and following recovery instructions closely.
At Dr Roelof Cronje’s practice, we’re here to answer your questions honestly, explain your options clearly, and walk with you through the process.
Learn more: Everything You Need to Know About Retinal Detachment
Explore more resources: Patient Resources
