A retinal detachment is a sight-threatening emergency that occurs when the thin layer of tissue at the back of the eye pulls away from its normal position. In Singapore, our high rates of myopia make this condition a significant concern for the local population. Without prompt intervention, a detached retina can result in irreversible vision loss or blindness.
Fortunately, Singapore offers quality ophthalmic care. Understanding the nuances of retinal detachment surgery—from the techniques used to the financial considerations—is vital for any patient facing this diagnosis.
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Surgical Methods Available in Singapore
Ophthalmologists in Singapore generally select from three primary surgical techniques. The choice depends on the location of the tear and the extent of the detachment.
1. Pars Plana Vitrectomy (PPV)
This is currently the most common approach in Singaporean specialist centres. The surgeon creates tiny “keyhole” incisions to remove the vitreous gel that is pulling on the retina. The eye is then filled with a gas bubble or silicone oil to press the retina back into place.
- Best for: Complex detachments or those caused by diabetic retinopathy.
- Advantage: Allows the surgeon to address internal issues and perform precise laser sealing.
2. Scleral Buckling
A traditional yet highly effective method where a silicone band (the buckle) is stitched to the outside of the white of the eye (sclera). This indents the eye wall to meet the detached retina, relieving the tugging force.
- Best for: Younger patients or those with simpler, peripheral detachments.
- Advantage: Does not require the removal of the vitreous gel.
3. Pneumatic Retinopexy
A less invasive procedure where a gas bubble is injected into the vitreous cavity. The patient must then “posture” (maintain a specific head position) so the bubble floats against the tear to seal it.
- Best for: Small, uncomplicated detachments in the upper part of the eye.
Retinal Detachment Surgery Costs in Singapore
Below is an overview of costs based on the Ministry of Health (MOH) Fee Benchmarks:
Private Sector Professional Fee Benchmarks
These benchmarks represent the doctor’s fees only (excluding hospital charges, GST, and medication).
| Fee Component | Scleral Buckling (SL801R) | Vitrectomy (SL801V) |
| Surgeon Fee | S$6,104 – S$10,028 | S$10,464 – S$15,696 |
| Anaesthetist Fee | S$1,308 – S$1,962 | S$2,289 – S$3,270 |
Using MediSave and Insurance
Under the MediSave scheme, Singaporeans can claim a portion of the surgical fees. If you have an Integrated Shield Plan (IP) and a rider, a significant portion of the costs at private hospitals may be covered. Always check with your insurer regarding “Letter of Guarantee” (LOG) arrangements to minimise out-of-pocket expenses.
Recovery and Post-Operative Care
The success of retinal detachment surgery depends heavily on the recovery period.
- Head Posturing: If a gas bubble or oil was used, you may need to stay in a “face-down” or side-lying position for 1 to 2 weeks. This ensures the bubble remains in contact with the retinal tear.
- Travel Restrictions: You must not fly if a gas bubble is in your eye. The change in cabin pressure can cause the bubble to expand, leading to dangerously high eye pressure and permanent damage.
- Physical Activity: Avoid heavy lifting, straining, or swimming for at least one month.
- Vision Stability: It often takes several months for the vision to stabilize. In some cases, a second procedure may be required if the retina does not remain attached.
Specialists You May Consider
Choosing the right surgeon is vital for a successful outcome. Singapore is home to qualified ophthalmologists who specialise in vitreoretinal surgery. These experts use advanced diagnostic imaging to map your eye and determine the most effective surgical path.
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For enquiries or for an introduction to a specialist, contact us below.
Frequently Asked Questions (FAQs)
Is retinal detachment surgery considered an emergency?
Yes. It is a medical emergency. Delaying surgery, even by a few days, can lead to the detachment spreading to the macula (the centre of your vision), which significantly worsens the long-term visual outcome.
Will I be awake during the surgery?
Most retinal surgeries in Singapore are performed under local anaesthesia with deep sedation. This means you are relaxed and will not feel pain. General anaesthesia is also an option for more complex cases or for patients who prefer to be completely asleep.
Can I drive myself home after the procedure?
No. Your vision will be blurred, and you may be wearing an eye patch. You must arrange for a family member or friend to escort you home.
How soon will my vision return?
Initial vision is often very blurry, especially if gas or oil is used. If a gas bubble was used, your vision will gradually clear as the bubble is absorbed and replaced by natural eye fluid, usually over 2 to 8 weeks.
Can a retinal detachment happen again?
While the success rate of the first surgery is high, there is a risk of re-detachment if new tears form or if scar tissue develops. Regular follow-up appointments with your specialist are crucial to monitor your progress.