Prof. Dr. Mumtaz Chaudary is a renowned Vitreo-Retinal Surgeon of Pakistan. He is MBBS, MCPS, FCPS, FRCS eye doctor having fellowship in Vitreo-Retina. He is also head of the department (HOD) Poly Clinic Hospital Islamabad. He is expert in Vitrectomy, Refractive and Cataract surgeries.
What to know about a vitrectomy procedure?
Vitrectomy surgeries involve the removal and replacement of some or all of the vitreous humor or fluid from the eye. The procedure is considered very successful and is often done as part of other eye surgeries.Depending on the additional procedures involved, most people start to recover from vitrectomy surgeries after a few days, but a full recovery often takes several weeks.
Fast facts on vitrectomy surgery:
Vitreous humor is a gel-like substance made of at least 98 percent water.
Vitrectomy is an outpatient surgery, performed in hospital or dedicated ambulatory surgery center.
The vitreous cavity gives the eye its round shape and makes up at least two-thirds of the volume of the eye
After vitrectomy surgeries, most people can go home following a short monitoring period.
What is vitrectomy surgery?
It is important for people to arrange to take a few days off work and to arrange for a ride home after the surgery.Before the day of their surgery, an appointment will be scheduled to examine the eye that will be operated on. Usually, people will have to avoid all food and water for at least 8 hours before the surgery is done.An individual should discuss any current medications they are taking and medical conditions they have with the surgeon, ahead of time. Some medicines may need to be avoided on the day of surgery.
Common steps in vitrectomy surgery include:
1. The eye is anesthetized or numbed and dilated.
2. The eye is cleaned with an antiseptic solution and draped with a sterile covering.
3. An eyelid speculum is used to keep the eye open, and a protective covering is placed over the eye not being operated on.
4. 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.
5. The surgeon accesses the eye through the pars plana, a structure in the sclera or white part of the eye.
6. The surgeon uses forceps to open the cut.
7. The surgeon inserts a microscope, as well as a fiber-optic light to be able to see the eye.
8. The surgeon uses a vitrector or vitrectomy probe to cut the vitreous gel, and a suction tool to remove broken down fluid.
9. Depending on the individual case the surgeon will then:
use forceps, scissors, and cutters to peel back scar tissue from the retina insert a silicone-tipped needle to drain infected, cloudy, or bloody fluid use a laser probe, to treat abnormal blood vessels, clots, and seal off retinal injuries, such as tears or holes 10. The surgeon fills the eye with a vitreous substitute similar to saline solution, silicon oil, or a gas or air bubble.
11. An antibiotic ointment will be applied to the eye to prevent infection and the eye will be covered.
12. 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.
Vitrectomy Surgery, Cataract Surgery, Refractive Surgery, PRP Laser, Glaucoma Surgery
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