Retinal detachment, a major cause of acute vision
loss, constitutes a serious ophthalmic emergency and necessitates prompt
treatment by a vitreoretinal surgeon, particularly in cases where the macula is
still attached [1]. Worldwide estimates range from 9,62 per 100,000 population
with the highest prevalence of detachment occurring in Europe, followed by Asia
and the Americas (ibid). Myopia, a known risk factor for retinal detachment, has
been on the rise since the early 2000’s and is estimated to continue to
increase with aging populations [2]; some studies suggest that incidents of
retinal detachment have also increased since the COVID-19 pandemic [1],
suggesting a need to develop systemic protocols to address the psychological
impact of ophthalmic emergencies on patients. Psychological literature on the
subject is sparse, and anecdotal evidence suggests that the perceptual disturbances
associated with retinal detachment itself, acuity of the condition, its
emergent treatment, and the pre, peri and post-operative recovery, including
head positioning, lift restrictions, ongoing limitations related to recovery,
potential complications and repeat procedures, generate substantial distress.
The authors, all of whom have experienced retinal detachment, have compiled
this manuscript as autoethnography to document using our mental health toolkit
as trained professionals to address coping with considerable distress associated
with this medical condition. The authors propose utilizing strategies to mitigate
emotional distress experienced by patients in the pre-, peri and post-operative
recovery treatment to reduce anxiety and improve treatment adherence and
outcomes. Additional recommendations for retinal surgeons and ophthalmologists
include transparent education about surgical procedures and the recovery
process, with guidance on how to prepare and manage physically and emotionally
post-operatively.
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