![]() detached retina where the retina becomes loose and moves around the eye.injury from a dislodged, misplaced, or infected intraocular lens (IOL).damaged retinal tissue or scar tissue on the retina.vitreous floaters or tiny bits of tissue in the vitreous fluid.problems after cataract (cloudy lens) surgery.It is also commonly done to drain vitreous fluid that has become cloudy or bloody, or filled with floaters or clumps of tissue.Ĭommon reasons for a vitrectomy surgery, and other surgeries associated with it include: ![]() Vitrectomy procedures are often done to allow surgeons access to the back of the eye, during operations for retinal conditions. Share on Pinterest Virectomy surgery may be performed to treat a range of eye problems, from eye injuries to cataracts. The individual may need to lay face down for a while to be monitored, and instructions will be given, depending on what other procedures are done on the eye. An antibiotic ointment will be applied to the eye to prevent infection and the eye will be covered.ġ2. The surgeon fills the eye with a vitreous substitute similar to saline solution, silicon oil, or a gas or air bubble.ġ1. use a laser probe, to treat abnormal blood vessels, clots, and seal off retinal injuries, such as tears or holesġ0.insert a silicone-tipped needle to drain infected, cloudy, or bloody fluid.use forceps, scissors, and cutters to peel back scar tissue from the retina.Depending on the individual case the surgeon will then: The surgeon uses a vitrector or vitrectomy probe to cut the vitreous gel, and a suction tool to remove broken down fluid.ĩ. The surgeon inserts a microscope, as well as a fiber-optic light to be able to see the eye.Ĩ. The surgeon uses forceps to open the cut.ħ. The surgeon accesses the eye through the pars plana, a structure in the sclera or white part of the eye.Ħ. The surgeon makes a small incision or cut, usually about the width of an eyelash or 0.5 millimeters, in the outer membrane of the eye.ĥ. An eyelid speculum is used to keep the eye open, and a protective covering is placed over the eye not being operated on.Ĥ. The eye is cleaned with an antiseptic solution and draped with a sterile covering.ģ. The eye is anesthetized or numbed and dilated.Ģ. Some medicines may need to be avoided on the day of surgery.Ĭommon steps in vitrectomy surgery include:ġ. Usually, people will have to avoid all food and water for at least 8 hours before the surgery is done.Īn individual should discuss any current medications they are taking and medical conditions they have with the surgeon, ahead of time. It is important for people to arrange to take a few days off work and to arrange for a ride home after the surgery.īefore the day of their surgery, an appointment will be scheduled to examine the eye that will be operated on. Reasons for not returning after 5 years, however, were probably related to dissatisfaction in at least one third of patients.Īlthough macular pucker surgery resulted in an increase in vision and a decrease of metamorphopsia in 83% of patients after 1 year, we assume, based on the biased patient sample we questioned after 5 years, that subjective assessment would be positive in only a small majority of the patients.Share on Pinterest A vitrectomy surgery is when the vitreous humor or fluid surrounding the eye is surgically removed and replaced. Forty of 57 patients (70%) indicated that they would elect to have surgery again. In these 57 patients, a further mean increase of 1 ETDRS line had occurred, as well as a further decrease in metamorphopsia in one third of the patients. The 57 patients returning for the 5-year follow-up and questionnaire had a statistically significantly greater improvement in vision at 1 year than those who did not return. In 57 patients we obtained a 5-year vision, metamorphopsia grading and a response to a questionnaire.Īfter 1 year, mean vision had improved 2 ETDRS lines and metamorphopsia had decreased in 83% of the patients. Early Treatment of Diabetes Study (EDTRS) vision and Sine Amsler Chart metamorphopsia grading were assessed before surgery and 1 year postop in 107 patients. We assessed 107 consecutive patients undergoing macular pucker surgery and subsequent cataract surgery when not already pseudophakic. We wished to study outcome in vision and metamorphopsia in patients undergoing macular pucker surgery, to assess changes between 1- and 5-year follow-up, as well as patient satisfaction at 5 years. Although macular pucker removal in patients with metamorphopsia due to a macular pucker is a traditional elective vitreoretinal indication, we found that patients were not uniformly satisfied after surgery.
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