If you have this condition, you likely will see straight objects appearing wavy and crooked. This type of growth interferes with central vision by shrinking or contracting, which distorts the central retina. Epiretinal Membrane Peeling (Membranectomy)Įpiretinal membrane (ERM), also known as macular pucker and cellophane retinopathy, involves growth of a membrane similar to scar tissue across the macula. The procedure is a marvel of modern medicine for people with conditions that might be blinding otherwise. Bleeding, infection, progression of cataract and retinal detachment are potential problems, but these complications are relatively unusual.įor most patients who undergo a vitrectomy, sight is restored or significantly improved. Vitrectomies have a very high success rate. Again, your surgeon or attending ophthalmologist will be the best judge of your individual recovery. In general, don't expect to know your final visual outcome for at least a few weeks. It protects the delicate retina by reducing traction while the vitreous humor is removed.īecause so many variables are involved, only your eye surgeon familiar with your condition can give you a realistic idea of what to expect following a vitrectomy.īut the underlying reason for the procedure usually is a major factor in determining how fast you will recover as well as the ultimate outcome.Īfter a procedure, you likely will use antibiotic eye drops for about the first week and anti-inflammatory eye drop medications for several weeks.įollow your surgeon's advice carefully. Vitrector, or cutting device, that removes the eye's vitreous gel in a slow, controlled fashion. Infusion port, used to replace fluid in the eye with a saline solution and to maintain proper eye pressure. Light pipe, which serves as a microscopic, high-intensity flashlight for use within the eye. The instruments that pass through these incisions include: These incisions are placed in the pars plana of the eye, located just behind the iris but in front of the retina. Your surgeon will make three tiny incisions in the eye to create openings for the various instruments that will be inserted to complete the vitrectomy. However, local anesthesia is used in certain situations, especially when general anesthesia would be inappropriate, such as for people with breathing problems. Usually vitrectomies require general anesthesia. Retrieval of lens nucleus following complicated The most common reasons for a vitrectomy include: However, a vitrectomy is considered inappropriate and extreme for addressing most ordinary spots and floaters that occur with vitreous detachments affecting almost everyone to some degree as they grow older. Liquid to replace the vitreous humor that ordinarily fills up the inner chambers of the eye. Once the surgeon removes the vitreous humor and clears the area, he or she usually injects a saline Light rays passing through the eye cause the foreign matter to cast shadows on the retina, resulting inĪ vitrectomy can restore vision in diabetic retinopathy by removing the natural vitreous that has become clouded by leaking blood vessels and replacing it with clear fluid. One example of foreign matter is blood, from conditions such as diabetic vitreous hemorrhage. This approach can address vision problems caused when foreign matter invades this usually pristine area of the eye's interior. Conditions Requiring A Vitrectomy How The Procedure WorksĪ vitrectomy procedure removes the vitreous humor or gel-like substance in the eye. ![]() ![]() Procedures mentioned here are the more common of many surgical approaches to specific conditions ![]() Ophthalmologists and other ophthalmologist sub-specialists commonly handle procedures involving lasers. This type of specialist trains first as a general ophthalmologist and subsequently specializes in the medical and surgical management of vitreoretinal disorders.Ī vitreoretinal specialist performs nearly all of the surgical procedures listed here, although general General ophthalmologists, other ophthalmologist sub-specialists and optometrists usually refer patients in need of vitreoretinal management to a specialist. Various vitreoretinal surgical and laser approaches can restore, preserve and enhance vision for many eye conditions such as certain types of age-related macular degeneration, diabetic retinopathy, diabetic vitreous hemorrhage, macular hole, a detached retina, epiretinal membrane and CMV retinitis. Vitreoretinal eye surgery includes a group of procedures performed deep inside the eye's interior with lasers or conventional surgical instruments.Īs the name implies, this delicate surgery takes place where the gel-like vitreous and light-sensitive membrane ( retina) are found.
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