Surgery is the only treatment for a retinal detachment. The goal of the surgery to reattach the retina in order to reverse vision loss. Almost all retinal detachments can be repaired with scleral buckle surgery, pneumatic retinopexy, or vitrectomy. But even with such a high rate of success for surgery, it is important to act quickly. The longer you wait to have surgery, the lower the chances that good vision will be restored. When the retina loses contact with its supporting layers, vision begins to get worse.