When you are looking to clean out vitreous hemorrhages inside the eye. Pars plana vitrectomy eye surgery is a procedure you will need.
Click here to watch a vitrectomy animation
The vitreous is normally a clear, jelly-like fluid that fills the inside of the eye. Various eye disease complications can cause the vitreous to cloud, fill with bloodor even harden so that light entering the eye is unable to reach the retina properly.
What is vitrectomy surgery?
A vitrectomy is a surgical procedure that removes the vitreous in the central cavity of the eye so that vision can be corrected. It is beneficial in many eye conditions including diabetic eye disease (diabetic retinopathy), retinal detachments, macular hole, macular pucker and vitreous hemorrhage. Also see “Human Eye” animation
How is a vitrectomy done?
The vitrectomy procedure is typically an outpatient procedure. Rarely, an overnight stay in the hospital is required.
Your surgeon will use local or general (while you are asleep) anesthesia. He then holds the eye open using a special speculum and covers the eye that is not being operated on.
The begin the procedure, Dr. Deupree makes a small slit in the side of the eye then inserts an infusion line to maintain constant eye pressure. See the animation. Next, he inserts a microscopic cutting device which will aspirate (suck out) the vitreous fluid.
He illuminates the inside of the eye throughout the procedure with a microscopic light source. Additional instruments are ready to perform other maneuvers such as cauterizing blood vessel leaks or removing scar tissue.
After removing the vitreous, the surgeon refills the eye with a special saline solution that closely resembles the natural vitreous fluid in your eye. He closes the three small openings with tiny absorbable stitches and uses antibiotic injections to prevent infection at the end of the procedure.
Vitrectomies have been commonly performed and perfected for over 30 years. However, certain risks do exist. They include:
- cataract formation or progression
- development of glaucoma (increased pressure in eye)
- bleeding and/or infection inside or outside of eye
- red or painful eye
- loss of depth perception, blurring of vision, double vision, or blindness
- swelling of layer under the retina (choroidal effusion)
- change in focus, requiring new spectacle lenses (refractive changes)
- wrinkling of retina (macular pucker)
The retinal detachment will heal during the normal vitrectomy healing time, which is between 4 to 6 weeks. Normal restoration of vision can take several weeks. Your surgeon will restrict physical activity during this time to prevent complications.
Face-Down Posturing for 2 weeks
Since vitrectomy can require you to be face-down for 2-3 weeks, you will need to make sure you rent the proper equipment that’s going to help you recover comfortably. Most patients are recommended the RS Vitrectomy Survival Guide at their doctor’s office. We recommend that you always consult with your surgeon for specific instructions about face-down recovery time.
Small incision Vitrectomy advancements
Vitreous floaters removed with vitrectomy eye surgery
Retinal pucker removal starts with Vitrectomy