When the eye diseases are described, the eye is divided into two parts: the front part of the eye and the back of the eye. In front of the eye are the cornea and lens, the vitreus and retina at the back of the eye. It is the back part of the eye that carries the visual function of the eye and transmits the neural messages to the brain.
Vitrectomy surgery is the name of the surgery that, "vitre gel" located at the back of the eye, with the help of special tools on the retina with a cut of less than 1mm.
WHAT IS THE PURPOSE OF VITRECTOMY SURGERY?
In these operations, it is aimed to clean the intraocular fluid (vitreous) hemorrhages, pulling down tapes in eye, intraocular foreign object or infection, and remove the retina (the layer of the neural network of the eye) to the old anatomical structure again. If bleeding, inflammation cells, foreign bodies and scar tissues impair vision function by preventing the image from reaching the retina where the image is perceived, it should be corrected by vitrectomy. If the diseases that are required by vitrectomy cannot be treated, there may be blindness and total loss of the eye.
For example, if a patient with retinal tears, detachment, intraocular infection, and a foreign object in the eye is not treated, the loss of light sensation and phtisis (constriction and deflation of pupil) may be inevitable in the eye. The main purpose of the surgery is to prevent such situations. Generally, anatomical and visual success is planned in the first vitrectomy surgery; repetitive surgeries may sometimes be required to achieve this.
DISEASES THAT VITRECTOMY APPLIED
Diabetic retinopathy (due to diabetes)
Vitreous bleeding (intraocular bleeding)
Macular Pucker (vision center wrinkle)
Retinal detachment and tears (breakage of the nerve layer of the eye)
Macular hole (hole in the center of vision)
Removal of intraocular foreign object (result of eye injuries)
After cataract surgery
AFTER VITRECTOMY SURGERY
The first days after surgery, eye unrestness, pain, redness and stinging sensation are the usual and the expected situations. The results are quite positive in intraocular hemorrhages where the retina is not affected. Especially, when the central retina is unaffected, vision may reach better levels after the surgery. Depending on the type or seriousness of the disease in your eyes, serum, gas or silicone oil is placed in the eye during surgery and sometimes patients are requested to lie in a certain position after surgery.
In vitrectomy surgery, patients who are placed gas to his/her eye are not allowed to travel by plane until the gas is absorbed. In patients who are placed silicone in the eye, silicone oil can usually be removed after 3-6 months. With the help of seamless vitrectomy operation developed in recent years, postoperative recovery period and operation time are shortened, eye surface irritation decreases and patient comfort increases. You can return home after a short time of vitrectomy.
AFTER VITRECTOMY SURGERY THE POINTS TO TAKE INTO CONSIDERATION BY THE PATIENT
Eye should not be cleaned with wipes, paper towels, etc.
Eye should not be pressured.
It should be taken into account how many times the medications should be used a day when discharged and should not be neglected.
After discharge, a certain amount of pain and stinging sensation may be considered normal. When pain is felt, the pain medication that will be recommended by your doctor will help.
Information should be obtained from the doctor (such as Air, Gas, Silicone) on what type of substance is given to the eye. Depending on the type of substance given, recovery times and postoperative things that will be done, some differences may happen.
It is normal to feel dark in front of the eye if the eye is gassed. The gas supplied into the eye remains in the eye for about 2 to 6 weeks, depending on the type, and it is normal to be prevented vision in this period. The gas absorption given within the specified period will be completed and the vision will improve.
The head position is important after the operation. It is necessary to learn how to sleep with your doctor and how long you should stay in the recommended position.
If general anesthesia should be given to the anesthesiologist for any reason, the information of there is gas in the eye, should be given to anesthesiologist and appropriate anesthetic selection should be provided.