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Doctor insights on: Diabetic Vitrectomy Surgery

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Retinal surgery laser risks?

Safe overall.: Retinal laser is used for diabetic retinopathy and for retinal tears most often. The treatments are usually safe and effective. Complications are rare though sometimes encountered. An errant laser can cause a black spot in the vision, but this is rare in experienced hands. Also rare are problems with the pupil dilating. The benefit of laser to patients should exceed the risks otherwise why do? ...Read more

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Dr. Richard Scartozzi
489 doctors shared insights

Vitrectomy (Definition)

A vitrectomy operation is a microsurgical procedure performed under a microscope in which the retinal surgeon removes vitreous gel from the back of the eye. A tiny cutting instrument is used as well as a fiberoptic light. . A variety of other instruments, such as a laser may be used, depending on the circumstances. The operation is usually performed under local ...Read more


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Recovery time after retinal detachment surgery? Procedure: vitrectomy

Recovery time after retinal detachment surgery?  Procedure: vitrectomy

3-8 weeks.: Although less common, a short acting gas bubble in a relatively simple detachment can facilitate a shorter period of face down positioning. Surgeons use gases with different rates of absorption for this purpose. Usually drops continue for between two and four weeks, depending on situation. Finally, silicon oil can be used and no positioning at all is required but the oil must be removed. ...Read more

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What are cataract surgery complications?

What are cataract surgery complications?

CS Complications: post Cataract Surgery Issues/Complications: need for glasses still, need YAG laser: PCO, dry eye sx/worsening, eyelid droop, recurrent uveitis, eye bleeding, needing another surgery/laser (for multiple reasons: refractive surprise, swelling of macula CME, IOL dislocation, failing cornea), rare: infection,retinal hole, detachment, loss of vision, loss of eye, loss of life; [email protected] ...Read more

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Vitrectomy eye surgery if macula hole retinal detachment?

Vitrectomy eye surgery if macula hole retinal detachment?

Yes: Most common procedure to repair a retinal detachment resulting from a macular hole is a vitrectomy (remove the fluids from the back of the eyeball), replace it with a gas, and position the patient face down for some period of time (sometimes weeks) to allow the hole to close and the detachment to resolve. Most macular holes do not cause a detached retina, but many require a similar operation. ...Read more

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How long does recovery from diabetic retinopathy laser eye surgery take?

How long does recovery from diabetic retinopathy laser eye surgery take?

Depends: It depends on what you mean by recovery. The changes in vision from the bright light of the laser will recover within minutes. The mild discomfort you may have following panretinal photocoagualtion will go away within a day or two. If you had laser for swelling of the macula and blurred vision, the vision will very slowly improve for many months, up to years form a single treatment. ...Read more

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Is laser surgery required after having a cataract eye operation?

Maybe: Sometimes laser vision correction is offered after cataract surgery in order to decrease dependence on glasses, but it is not required. There is another type of laser that is sometimes needed to improve vision in about 10% of cataract patients called yag capsulotomy. Speak to your cataract surgeon to clarify. ...Read more

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How successful is retinal detachment emergency surgery?

How successful is retinal detachment emergency surgery?

Retinal Detachemnt: Varies, depending on what the cause, how long it has been present, age, amount of retina detachment, whether or not the macula is detached or not detached (macula off or on retinal detachment). Even if the retina is successfully attached, the vision may still be limited or the vision can be restored to normal. ...Read more

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Is retinal detachment surgery a permanent cure?

Is retinal detachment surgery a permanent cure?

Possibly: Scleral buckle and vitrectomy are two surgeries that can result in long term stabilization of the retina. In many patients, this is a permanent cure. Retinal re-detachment can occur and requires repeat surgery 5-15% of the time. ...Read more

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Is lensectomy a cataract operation?

Is lensectomy a cataract operation?

Yes: Essentially, yes. Lensectomy is the doctors name for removal of the crystalline lens in the eye, which is the same thing that is done with a cataract operation. It can be done from either the front approach usually used by cataract surgeons, or the rear approach often used by retinal surgeons. In most cases, an artificial lens (implant) is used to replace the removed natural lens. ...Read more

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Success of retinal reattachment surgery with laser?

Kind of...: Laser is used to surround retinal tears and prevent them from progressing to detachment. It can also be used to surround a small or localized detachment. This type of surgery is very successful. The fine point here is that the retina is not reattached, but stabilized. ...Read more

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How to clear cloudiness after cataract surgery & laser surgery?

How to clear cloudiness after cataract surgery & laser surgery?

Cloudy after CS: Blurry vision, discomfort, pressure sensations around eye after surgery are common. Can be due to resolving inflammation, corneal swelling/edema, drying out of tear film layer, pressure fluctuations in eye. These symptoms should resolve. Muro 128 drops & ointment help if due to corneal swelling: OTC; use post op drops (steroid & antibiotic); cold ice packs; ask MD if have edema: Muro helps. ...Read more

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How long until you read after a retinal detachment surgery? Surgery : vitrectomy

How long until you read after a retinal detachment surgery? Surgery : vitrectomy

1-8 weeks.: Although less common, a short acting gas bubble in a relatively simple detachment can facilitate a shorter period of face down positioning. Silicon oil can be used instead of gas and no positioning at all is required but the oil must be removed. While face down, you can use your other eye to read. ...Read more

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Should vision worsen after corneal transplant surgery?

Should vision worsen after corneal transplant surgery?

Yes: Yes initially after transplant surgery your vision may be worse. Depending on the type fo transplant it may take anywhere from 3-12 months to recover. ...Read more

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What is retinal detachment surgery?

What is retinal detachment surgery?

Reposition Retina: Repairing a retinal detachment involves use of specialized techniques to either remove scar tissue causing a tractional elevation of retina or to close a hole and drain subretinal fluid. The later is the more common occurrence. Retinal surgeons frequently use in-office procedures such as laser w/ gas bubble injection or operative surgery with vitrectomy and/or buckle to reattach the retina. ...Read more

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Retinal tear laser complications?

Retinal tear laser complications?

Low risk procedure: A retinal tear can be surrounded by laser, which helps to prevent retinal detachment. One complication is that the treatment is not adequate, and a detachment happens anyway. There can be some discomfort during the laser procedure, but there is virtually no risk of inflammation, and no risk of infection. It is remotely possible that the laser could be applied to an unintended part of the retina. ...Read more

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What is fractional retinal detachment secondary to diabetic retinopathy?

What is fractional retinal detachment secondary to diabetic retinopathy?

Detached Retina: It is actually a tractional retinal detachment. When diabetes causes the retinal blood vessels to die, the retina grows new blood vessels that are disorganized and of poor quality. They grow into the gel that fills the eye called the vitreous. This causes the vitreous to contract and pulls the retina off the back to the eye. That is a tractional retinal detachment. It often needs surgery. ...Read more

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For someone who had posterior vitreous detachment completed prior to cataract surgery, what is the risk of post-cataract surgery retinal detachment?

For someone who had posterior vitreous detachment completed prior to cataract surgery, what is the risk of post-cataract surgery retinal detachment?

Very small : As vitreous traction is the main cause for retinal detachment following cataract surgery, if the vitreous is already separated, there would be no traction and thus the chance of a detachment would be very small. ...Read more

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Can surgery cure diabetics?

Can surgery cure diabetics?

No !!: Even if lose need for insulin, medications and have normal sugars, the bariatric surgery procedures do get get rid of genes that put you at risk of recurrent high sugars so follow diet, avoid weight gain, follow same no concentrated sweet diet your md recommended in past. ...Read more

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Foot drop after radical nephrectomy surgery?

Foot drop after radical nephrectomy surgery?

Peroneal nerve: Isolated foot drop after surgery is likely due to pressure on the lateral aspect of the leg just below the knee during surgery. As seen in the picture, the peroneal nerve is at risk of pressure injury where it crosses the fibula. This kind of "palsy" due to pressure may recover spontaneously over weeks to months. If not, orthotics or surgery to graft a nerve along the injured area may help. ...Read more

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I need to know what is vitrectomy surgery and how is it performed?

I need to know what is vitrectomy surgery and how is it performed?

See below: Pars plana vitrectomy (ppv) is performed using small instruments that pass through the white of the eye (scleral). The vitrector cuts up and aspirates the vitreous jelly. This allows access by the surgeon to the underlying retina for therapeutic surgical maneuvers like membrane peeling, laser application, and/or gas/oil tamponade depending on the diagnosis needing surgery. ...Read more

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How long is the hospital stay after vitrectomy surgery?

How long is the hospital stay after vitrectomy surgery?

None: Vitrectomies are usually done as outpatient surgery requiring no hospital stay. ...Read more

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What can I expect from a vitrectomy surgery?

What can I expect from a vitrectomy surgery?

Less floaters: Vitrectomy is performed to remove blood or repair a retinal detachment. These conditions tend to present as floaters and decreased vision. Although the vision may remain blurred for days or weeks after surgery, floaters should be gone and ultimately three vision should be better. ...Read more

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What is vitrectomy surgery and how is it done?

What is vitrectomy surgery and how is it done?

Microsurgery: It is an outpatient operation in which microscopic instruments are used to remove the vitreous gel and manipulate other tissues. The surgery is done with the patient sedated, lying under a powerful microscope. As you can appreciate from the schematic, operating in that small space requires steady hands. The patient goes home with a patch and drops to help healing. It is usually not painful. ...Read more

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What is the stay like after vitrectomy surgery?

What is the stay like after vitrectomy surgery?

Depends on reason: Vitrectomies are performed for various diagnoses. Some will require positioning restrictions. Call your doctors office and check to see what they recommended for you. Take care. ...Read more

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Vitrectomy surgery; how can I clean crusty drainage?

Vitrectomy surgery; how can I  clean crusty drainage?

See below: Clean warm compresses used several times a day. Also, you can use a fresh bottle of artificial tear drops. ...Read more

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Vitrectomy surgery; how do you clean crusty drainage?

Eyelid discharge: After any kind of eye surgery can be removed by using a moist tissue or cotton pad. Use this to gently wipe away the crusting from the lids. If the crusting is hard, leave the moist compresses on your eyes for awhile. This will help to soften it up. ...Read more

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How do you clean crusty drainage after a vitrectomy surgery?

How do you clean crusty drainage after a vitrectomy surgery?

Ask retinal surgeon: There should not be a lot of drainage after vitrectomy, and this could be a sign of infection or leakage (rare). So, ask your surgeon about this. Sometimes crusting can also be a residue of postoperative eye drops. Usually a warm compress to the eyelids and gentle cleaning of the external lids can loosen and remove debris. This debris can also harbor bacteria, so it is good to remove it. ...Read more

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Can i smoke marijuana after vitrectomy surgery?

Can i smoke marijuana after vitrectomy surgery?

yes: There is no interaction between this type of surgery and the causes for this type of surgery, and inhaling marijuana. Be sure that you are in a situation where the eye is protected from the smoke (good ventilation) and your eye is physically protected from possible injury. ...Read more

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Would it be okay for my dad to have another pvr eye surgery after vitrectomy?

Would it be okay for my dad to have another pvr eye surgery after vitrectomy?

Common for PVR: Pvr is the most common cause of failure for retinal detachment surgery. Some patients have a very active healing response which creates scar tissue that pulls the retina back off. Once pvr occurs, it needs to be treated with vitrectomy and possibly a buckle and silicone oil. It is possible that multiple surgeries will be needed to stabilize the retina. ...Read more

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Recovery time after retinal detachment surgery? Procedure: vitrectomy

3-8 weeks.: Although less common, a short acting gas bubble in a relatively simple detachment can facilitate a shorter period of face down positioning. Surgeons use gases with different rates of absorption for this purpose. Usually drops continue for between two and four weeks, depending on situation. Finally, silicon oil can be used and no positioning at all is required but the oil must be removed. ...Read more

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How long until you read after a retinal detachment surgery? Surgery : vitrectomy

1-8 weeks.: Although less common, a short acting gas bubble in a relatively simple detachment can facilitate a shorter period of face down positioning. Silicon oil can be used instead of gas and no positioning at all is required but the oil must be removed. While face down, you can use your other eye to read. ...Read more

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When will I be able to read after a retinal detachment surgery? Procedure : vitrectomy

Depends!: On how extensive the retinal detachment and repair was. Your reading vision may never return, but if all goes well you should start seeing better and possibly be able toread with that eye 45-90 days following the surgery. It may be longer, and you may need subsequent surgeries as well (cataract). ...Read more

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What are the complications associated with vitrectomy eye surgery?

What are the complications associated with vitrectomy eye surgery?

Discuss w/ Retina MD: The most common complication from a vitrectomy is progression of cataract. At your age of 44, that may not be a major factor. Other risks that occur less than 5% of the time are retinal detachment, and bleeding. Post-operative infections from vitrectomies are rare. Depending on what the underlying condition is that you have, there may be a risk of disease progression and need for further surgery. ...Read more

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Can I take eyebright herb after vitrectomy surgery to speed up recovery? I had vitreous hemorrhage and concerned about taking things that cause bleeds

Can I take eyebright herb after vitrectomy surgery to speed up recovery? I had vitreous hemorrhage and concerned about taking things that cause bleeds

Not effective: Eyebright is a wonderfully named product with no proven effect. You can take it without fear of risk but don't expect any results that are positive for this untested product. ...Read more

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After recovery from vitrectomy for macular pucker and subsequent cataract surgery will a patient be able to wear contact lenses?

Contacts after CS: Depending on the type of cataract surgery performed (sutures used or not), the vast majority of patients can use contact lenses after surgery (usually after 1-3months) if needed still after surgery: our goal in most patients is to help them be glasses/contact lenses free. More information at eyedoc2020.blogspot.com ...Read more

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How many times can you have a Vitrectomy surgery done on your eye? My doctor said it can be done up to 3 to 5 times, Is he right?

How many times can you have a Vitrectomy surgery done on your eye? My doctor said it can be done up to 3 to 5 times, Is he right?

Usually once: A vitrectomy removes the vitreous gel in the eye and replaces it with saline. Once it is removed it does not reform. Therefore a vitrectomy would typically be performed only once unless the original was subtotal. ...Read more

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Will my eyes be as beautiful as it is now after vitrectomy or scleral buckle or any other surgery? will there be any changes in the shape of the eye?

Will my eyes be as beautiful as it is now after vitrectomy or scleral buckle or any other surgery? will there be any changes in the shape of the eye?

Not much change: Your eye most likely remain the same and beautiful. Vitrectomy will not change the shape or correction of your eye. You may have redness for a few weeks which will go away with drops and healing. Scleral buckle changes the eye's diameter to about 1 mm. But, it may not effect the external look of the eye. It will change the correction of the eye to become myopic. ...Read more