It is recommended to wear your sunglasses or prescription glasses during the day. If your eye patch is removed by the ophthalmologist one day after surgery, you might not need to wear the eye patch yourself. Eye patch:Īs per the ophthalmologist’s instruction do not forget to wear the eye patch for the first night or as directed by the eye doctor after surgery. However, as the surgery involves the use of light sedation, you will need a family member or driver to take you back home. Aftercare is essential for the successful outcome of the surgery which includes: Travel safety:Īfter complete eye checkup, patients can leave the hospital and go home in an hour. Overnight stay is never required in a day care surgery and most of the eye related surgeries are performed as day care surgeries.Īfter the surgery, the eye is patched with a protective bandage and shielded to protect from any type of eye injury. Day care surgical procedure involves admission to the hospital for a period of 5 to 6 hours during the day and the patients are discharged at the end of the day. Vitrectomy surgeries are done as a day care surgical procedure. Vitrectomy surgeries are performed by retina specialists, ophthalmologists with special training in the management of vitreoretinal diseases. Diabetic retinal detachment (tractional retinal detachment):Īfter vitrectomy requires membrane peeling (refers to all the techniques to remove the membranes pulling the retina), achieving haemostasis (controlling bleeding commonly encountered during surgery) followed by laser photocoagulation (pan-retinal) followed by gas or oil injection.Įssentially all the procedures performed after vitrectomy to address the disease together are called vitreoretinal surgery. This is followed by gas or oil injection. After fluid gas exchange laser photocoagulation around all the retinal breaks and weak areas in the retinal periphery is done. ILM peeling for macular hole Retinal detachment (rhegmatogenous):Īfter vitrectomy requires the fluid gas exchange to remove the subretinal fluid to attach the retina. Macular hole:Ī fter vitrectomy requires simple ILM peeling (thin superficial acellular layer over the retina that is removed with forceps), large holes sometimes require inverted ILM peeling with stuffing of the peeled ILM inside the hole followed by gas injection.įigure 2. Therefore, vitrectomy is only a part of the whole vitreoretinal surgery. All the additional procedures performed after vitrectomy was done together form vitreoretinal surgery. Most of the retinal diseases require many more procedures after vitrectomy is done to treat the condition. Vitrectomy refers to the clearing of the vitreous gel from the inside of the eye. What is the difference between vitrectomy surgery and Vitreoretinal surgery? All the patients post vitrectomy surgery are routinely evaluated for intraocular pressure at each follow-up visit.Īdvances in techniques, tools, and understanding of complex eye diseases have made vitrectomy surgery more successful in recent times. Vitrectomy surgery per se does not cause glaucoma but the intraocular tamponading agents left in the eye sometimes at the end of surgery like silicone oil and expansile gases like sulfur hexa fluoride (SF6) and perfluoropropane (C3F8) can cause glaucoma. Glaucoma – increased intraocular pressure (IOP). Retinal detachment- preventable by careful examination at the end of surgery for retinal tears and treating them with the laser. At the end of vitrectomy surgery, the retinal periphery is carefully inspected to look for any retinal tears that were unnoticed. Retinal tears: can form during the surgery which will be treated with the laser during surgery. After vitrectomy surgery cataract progresses at a higher rate than eyes which have not undergone vitrectomy surgery. Like any other surgery, vitrectomy too involves some risks and complications:Ĭataract: Is the most common sequelae after vitrectomy surgery. Vitrectomy surgery- schematic Complications Related To Vitrectomy SurgeryĬomplications and risks are part of vitrectomy surgery. This helps the retina to stay in position.įigure1. Once vitrectomy is complete, the ophthalmologist or eye surgeon will replace the natural vitreous gel with either a saline solution or gas bubble or silicone oil. This surgery offers better access to the retina of the eye for different treatments like repair of retinal detachments, removal of scar tissue and treatment of macular holes. Vitrectomy is a surgical procedure in which the vitreous gel that fills the posterior chamber/cavity of the eye is removed to treat eye problems associated with retina or the vitreous.
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