Doctor insights on:
Vitrectomy Surgery Gas Vs Silicone Oil
Retinal detachments: Gas is usually injected into the eye after vitrectomy performed for primary retinal detachments. Different gases have different retention times. Silicone oil is usually reserved for recurrent detachments especially when associated with fibrosis causing traction referred to as pvr.See 2 more doctor answers
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
Why do some vitrectomy procedures use a gas like c3f8 and others use a fluid like silicone oil? Is there a permanent replacement for the lost gel?
See below: You do not need your vitreous jelly (if anything, it only potentially causes retinal problems). Tamponade agents, like c3f8 gas and silicone oil, are used to treat retinal detachments and macular holes. Gas disappears after a few weeks, oil lasts until removed surgically.See 1 more doctor answer
How long after a vitrectomy does it take for the silicone oil bubble to be surgically removed and vision to return?
This depends: This depends on the stability of your retinal problem and the practice of the doctor. For certain problems, like retinal detachment from proliferative vitreoretinopathy silicone oil is left in 6-12 weeks. This is a minimum. Patients with "severe" problems can have silicone kept in for much longer. Discuss this with your surgeon.
How long does it take for vision to become normal after silicone oil removal from eye? Is the wavy vision 3-4 days post silicone oil removal surgery n
Can't answer: This question is not in my area of medical knowledge.See 2 more doctor answers
See below: Clean warm compresses used several times a day. Also, you can use a fresh bottle of artificial tear drops.
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.
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.
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.
None: Vitrectomies are usually done as outpatient surgery requiring no hospital stay.See 1 more doctor answer
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.See 2 more doctor answers
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.See 1 more doctor answer
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).See 1 more doctor answer
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.See 1 more doctor answer
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.See 1 more doctor answer
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.See 1 more doctor answer
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.See 1 more doctor answer