Vitrectomy is a specialized eye surgical procedure for the removal of the vitreous gel from the eye. There are certain eye conditions that require the vitrectomy procedure such as:
During the vitrectomy surgery, the eye surgeon will insert small instruments into the eye, cutting the vitreous gel, and, with a special microscopic needle the gel is suctioned out. After the removal of the vitreous gel, the surgeon can treat the retina with a laser surgery also referred to as photocoagulation, thus cutting or removing fibrous or scar tissue from the retina. The procedure also helps to flatten areas where the retina has become detached, or repair tears or holes in the retina or macula.
At the end of the procedure, silicone oil or a gas is injected into the eye to replace the vitreous gel and restore normal eye pressure.
Vitrectomy may require an overnight hospital stay or it can also be performed as outpatient surgery. The surgery duration varies from 2 to 3 hours and the anesthesia type is decided by your eye doctor, depending upon your condition. Be advised that Vitrectomy is very different when the patient has diabetes.
vitrectomy removal of the vitreous gel eye surgery prices opthalmologists image
Your surgeon will advise you on the special positions to assert during your rehabilitation period at home, so that the gas or oil can push against the detachment.
Contact your doctor right away if you notice any signs of complications after surgery, such as:
Vitrectomy has been shown to greatly improve visual acuity in many people who have severe vitreous hemorrhage that has not cleared on its own.
Vitrectomy can decrease the risk of severe bleeding in people who have begun to have bleeding into the vitreous gel.
Vitrectomy can reduce the risk of severe bleeding in people with growth of abnormal blood vessels in the iris.
Vitrectomy can restore some vision that is lost as a result of traction retinal detachment and may help prevent further detachment.
Vitrectomy may cause elevated pressure inside the eye (intraocular pressure, or IOP), especially in glaucoma patients.
Several other serious, vision-threatening risks linked to vitrectomy:
One of the main uses of vitrectomy is to remove blood from the middle of the eye, a condition called vitreous hemorrhage. When vitreous hemorrhage occurs, some doctors may recommend waiting several months to a year to see whether the vitreous gel will clear on its own before they do a surgery that can have serious complications.
But if the hemorrhage is causing severe vision loss or is preventing treatment of severe retinopathy, surgery may be done sooner rather than later. Some studies have shown that long-term results are better with early vitrectomy.
Read more about ways to repair a retinal detachment.
Vitrectomy is only performed by eye doctors who have special training in the surgical treatment of retina problems.
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