What exactly is vitrectomy?Posted on: March 21, 2019, by : Ari Kaka
Human eyes have an amazing structure. Some eye problems affect the retina, some of them affect nerves, some eye problems are well-known, while others are still without a clear origin. Vitrectomy is the name of the surgery, which heals retina and vitreous. The surgeon who provides a vitrectomy is called ophthalmologist, Asiaretina explains. Usually, people who have detached retina are more familiar with this surgery because it repairs the retina. Vitrectomy can remove objects from the retina after incidents. This is the surgery, which removes scar tissue, blood or substances from the retina. If there is something in front of the retina, it blocks the light and the patient has difficulties to see clearly. If the object is a big one it might tear the retina and the person will lose his vision.
What health condition might lead you to the ophthalmologist office for vitrectomy?
- We’ve already mentioned retinal detachment;
- Endophthalmitis infection;
- Diabetic retinopathy – this health condition might affect not only the retina but vitreous gel;
- Eye injuries or consequences after cataract surgery;
- Wrinkles or a hole in the macula;
What exactly is going on during the surgery?
Have in mind that only highly experienced ophthalmologists should provide vitrectomy. In details, the patient receives a general or sometimes local anaesthesia and fell asleep while the ophthalmologist corrects his eye. The shortest surgery won’t be shorter than one hour so patients should know it is a serious manipulation. The ophthalmologist will remove cataracts, cloudy vitreous and scar tissue if there is. He will detach the retina and repair it with a laser beam if there are some damages on it. A special procedure is when ophthalmologist inserts gas or air bubble in the eye in order to hold retina’s position. All these things can be improved with vitrectomy surgery.
What patients should and shouldn’t do after a vitrectomy?
When the anaesthesia goes away, the patient will feel pain in the eye but the doctor can prescribe him a painkiller. The eye will be extremely dry that’s why the patient should use eye drops for a few weeks. Human bodies are different that’s why recovery time is also different. During the first week, the patient has to wear an eye patch on the eye because sunlight might be dangerous.
What are the most common risks?
Although eyes are not tissue, they might still infect so the risk of infection is on the table. Also, patients might experience internal bleeding. In some cases, the retina is detached and an ophthalmologist should repeat the surgery. Another side effect might be glaucoma – which appears because of the additional pressure in the eye.
Special cases are people over 60 years old who already have cataract surgery and lens implant on the same eye. In this case, the ophthalmologist won’t damage already positioned lens. But if the patient had already vitrectomy surgery then cataract surgery might be more complicated.
Make sure your ophthalmologist has enough experience with vitrectomy in Singapore, like these in AsiaRetina, and trust to his judgment. He will tell you which procedure is best for you and how long will be your recovery. Eye care won’t end with the surgery so have in mind that taking care for your vision is your job.
Something, every patient should have in mind is that he has to share all his medical history with his ophthalmologist especially if he receives some medications. Some medications should be stopped before surgeries and the doctor might ask you to do it. In addition, before the surgery patients have to make some tests like a blood test, ultrasound on the eye and of course few eye tests. Some eye problems require more than one treatment so ask your doctor how many you will need.