Vitrectomy
A vitrectomy is one method for repairing a detached retina. During this surgery, the vitreous was partially removed. This may be necessary if the vitreous, a thick, translucent substance that fills the center of the eye, prevents the surgeon from seeing the detached retina. This technique may also be necessary when retinal scarring renders conventional retinal detachment procedures ineffective.
Anesthesia for vitrectomy
During vitrectomy procedures, anaesthesia options include intracameral lidocaine irrigation, local anaesthesia, topical anaesthesia, and general anaesthesia.
The choice of anaesthesia will depend on a variety of factors, including the patient's and surgeon's preferences, the patient's health, and any extra surgical operations that will required. Each anaesthesia technique has advantages and disadvantages.
What necessitates a vitrectomy?
Vitrectomy surgery can used to treat a range of eye problems, including cataracts and eye injuries.
In order to gain access to the back of the eye during surgeries to treat retinal issues, doctors routinely undertake vitrectomy procedures.
Additionally, it is common practice to drain vitreous fluid that has become cloudy, bloody, or filled with tissue clumps or floaters.
Common reasons for vitrectomy surgery and related procedures include the following:
- Internal bleeding in the eyes
- Infected eyes
- Serious eye injuries or damage
- Issues that can arise after cataract (cloudy lens) surgery
- Tiny vitreous floaters or tissue pieces in the vitreous fluid
- Retinal scar tissue or retinal tissue that has injured
- Damage from a loose, displaced, or diseased intraocular lens (iol)
- A detached retina is one that moves inside the eye.
- Glaucoma, cataract, or corneal surgery that causes damage or harm
- Diabetic retinopathy is a condition where the retina has harmed by long-term uncontrolled diabetes.
- Macular degeneration or a macular hole, which is a tiny tear, hole, or flaw in the retina's central macula.
- Swelling of the central retinal tissue
- Eye swelling
Objective
A vitrectomy may performed if your vitreous damaged, inflammatory, or contains floating fragments of tissue or blood. A vitrectomy may used by your doctor to treat additional issues that could injure your retina or the inside of your eye, such as
- Cataracts, eye infections, and eye haemorrhages (endophthalmitis)
- Wrinkles, rips, or damage to the retina
- A detached retina occurs when your retina detaches from its normal location and floats around in your eye.
- Serious eye injuries or damage
- Diabetic retinopathy is a term used to describe when complications with diabetes damage the retina.
- A macular hole results from an injury to the retinal tissue that helps with detail perception.
Vitrectomy has a 90% success rate, even in patients over 60.
How risky is having a vitrectomy?
The majority of patients experience a successful recovery following their vitrectomy, while problems can sporadically arise. Your risks may vary depending on your age, health problems, and type of eye condition. The following are some of the risks of the procedure:
- Infection
- Intense bleeding
- Increased eye pressure
- The operation caused a recent retinal detachment.
- Damaged lens
- An increase in cataract cases
- Problems with eye movement after surgery
- Variation in refractive error
Furthermore, there is a potential that the procedure won't be able to address your main problem. A second operation may require in this case (from our best eye doctor in west delhi).
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