![]() This is commonly required in the repair of a macular hole or retinal detachment. This maneuver introduces a gas bubble, which can hold the retina in place as it heals. This involves exchanging the fluid inside the eye for air or a mixture of air with gas – termed “air-fluid exchange”. Intraocular Gases: “The Bubble on the Trouble”: In some vitrectomy procedures a gas bubble must be placed inside the eye as part of the procedure. Endo-laser is often used to treat leaking blood vessels inside the eye, a secondary affect of vein occlusions and other retinal disorders. More specifically, it can treat a thinning retina, retinal holes and retina tears or set (mend) a retinal detachment. Endo laser may be used to treat an unhealthy retina, affected by diabetic retinopathy. Membrane peeling is commonly used in the repair of macular puckers, macular holes, retinal detachments, and diabetic retinopathy.Įndophotocoagulation: This is the application of laser inside the eye at the time of vitrectomy. A special diamond-dusted silicone scraper may also be used in select patients. Membrane peeling: This step involves the removal of fine membranes from the retinal surface, using micro forceps. Here are some of the special techniques used to achieve the best outcome: Vitrectomy surgery involves many steps when used to repair complex conditions – conditions, which can cause blindness and vision loss in our patients. Special Techniques During Vitrectomy Surgery Either can occur during surgery or afterward, but both can be treated immediately. ![]() Other less common complications include infection and retinal detachment. In most patients, a cataract can progress rapidly, and often becomes severe enough to require removal. The most common risk following Retina surgery is an increase in the rate of cataract development. The Anesthesiologist will regulate the anesthesia levels, throughout the procedure, to keep you comfortable until your retina surgery is complete. The anesthesiologist will administer medication through an IV, which will make you feel relaxed and sleepy. The procedure is performed in an operating room, under local or, in rare cases, general anesthesia. In fact, they helped pioneer some of the most advanced surgical techniques, including 23 and 25 gauge suture instruments, which allow smaller incisions and faster vision rehabilitation. Our physicians use the latest technologies. This insures that the gas or oil is able to float upwards, toward the back of the eye, for proper healing of the retina. If either substance is placed in the eye, you will most likely be required to lay face down (prone) for several days. Your surgeon will discuss with you whether silicone oil or a gas bubble is most suitable. It has to be removed from the eye after several months, with a second operation. While the bubble is present, patients are not permitted to travel by air or go to high altitudes, as changes in air pressure may cause the bubble to expand, increasing pressure inside the eye.Ĭonversely, when Silicone Oil is used, the eye is unable to absorb it on its own. This gas may stay in the eye for up to eight weeks. The gas bubble is gradually absorbed and is replaced by the eye’s own fluid. In some cases, a gas or silicone oil bubble is placed in the eye. The body replaces the saline with its own fluid within a few days. ![]() The third incision is used to infuse a saline solution into the eye as the vitreous gel is removed. The second incision is used to remove the vitreous gel with a miniature handheld cutting device. The first incision is used to introduce a fiberoptic light to illuminate the inside of the eye. Instruments are placed in three tiny incisions near the front of the eye. The lack of vitreous gel does not affect the functioning of the eye. ![]() This procedure requires the removal of the liquid gel, located in the back of the eye, called the vitreous. Vitrectomy surgery is performed to repair many diseases that affect the back of the eye including the retina, vitreous and macula. Retina Surgery What Is Retina Surgery (Vitrectomy)? ![]()
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