Vitrectomyis a surgical procedure for eye wherein, a doctor removes the vitreous, a jelly like fluid inside your eye, and replaces it with a saline solution.

Why does one get a vitrectomy done?

For a person to see, light has to pass through one’s eye and reach the retina, the bundle of tissue at the back of your eye that senses light which sends the information to your brain.Various diseases can cause fluid in the vitreous to cloud, fill with blood or debris, harden, or scar. This can keep light from reaching your retina properly and cause vision trouble. Removing and replacing the fluid may solve or improve the problem.

Sometimes the retina pulls away from the tissue around it. The doctor could do a vitrectomy to make it easier to get to your retina and repair it.

Some other problems that are treated by vitrectomy include:

  • Damaged blood vessels in the retina
  • Infections inside the eye
  • Serious eye injuries
  • Wrinkles in the retina

Does one need to be admitted before the surgery?

It’s likely that doctor will look again at your eye before surgery using special tools and a light. They may need to dilate your eyes. An ultrasound will also be conducted on your eye to look more closely at your retina.

The procedure of the surgery:

Vitrectomyprocedure can take either an hour or several hours, depending on what condition is being treated. It may be just one in a series of procedures to repair a problem. One will have the option to stay awake and use numbing drops or shots in your eye. Or the patient might get general anaesthesia medicine that helps the patient to go to sleep during surgery.

During the surgery, the doctor will make a cut in the outer layer of your eye and cut through the white part of the eye, called the sclera. He will then remove the vitreous fluid with a needle along with the scar tissue or debris in your eye.Once the fluid is gone, your doctor will make any other repairs your eye needs. Before they're done, the doctor will fill your eye with saline. They may use silicone oil instead. If so, you’ll need an operation later to get it out. You might get stitches to close up the cuts in your eye, but most people don’t need them. Your doctor will put antibiotic ointment on your eye and cover it with a patch.

What is one supposed to do after the surgery?

During your vitrectomy recovery, your eye will be covered with a patch, which you can remove at bedtime. You will also be given eye drops to help speed your recovery after vitrectomy surgery.Your eye may be swollen and uncomfortable for several days during your vitrectomy recovery period. The discomfort you may feel is generally caused by the swelling outside of the eye. You may need someone to take you home after your surgery. Once home, you may need to hold your head in a certain position to help keep the gas bubble in your eye in the correct place to support your retina. Your eye will be red and sore, and your vision won’t be great until the gas is gone.The doctor will give you antibiotic drops to help prevent an infection in your eye. If your eye feels sore, you can take over-the-counter pain relievers. Your doctor will want to check your eye after the surgery. This follow up might happen as soon as the day after the procedure.

Risks involved:

Vitrectomy surgeries are typically successful. It’s rare to have a complication. Still, every surgery comes with risks and possible complications. After a vitrectomy, there is a chance of getting:

  • Cataracts
  • Raised pressure inside the eye
  • More bleeding in your vitreous
  • Retinal detachment
  • Infection
  • Problems moving your eyes
  • Damage to your eye’s lens

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