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Senin, 17 Oktober 2011

Retina and vitreous

OPERATION VITREO RETINAL
to meet the needs of technological advances in eye care, as well as the needs of those cases requiring vitreoretinal surgery is happening in society is increasing.
Understanding of vitreoretinal surgery is eye surgery to cope with retinal disorders (eye nerve membranes) or vitreous (clear tissue that fills the form to the eyeball). This operation is done, among others, on:

  1. Ablatio Retinae (retinal detachment)
    Retinal detachments are generally caused by a tear in the retina as a result: congenital factors, collision, etc.. Retinal detachment can cause blindness if the retina is attached to back in a relatively short time.
  2. Macular Pucker
    The macula is part of the retina used for reading and fine vision. In these patients, connective tissue grows on the surface of the macula that causes wrinkling the macula.
  3. Diabetic Retinopathy
    Is a disease of the retina caused by diabetes mellitus (diabetes). In the initial phase, diabetic retinopathy can be treated with laser alone, in advanced cases surgery is sometimes necessary vitrektomi to clean up the cloudy vitreous hemorrhage caused by, or for peeling the connective tissue on the surface of the retina.
  4. Infections of the eyeball (endophthalmitis)
    Bacterial infections that enter into the cavity of the eyeball are very dangerous for the vision and require quick handling.
  5. Eye trauma (collisions or injuries to the eyeball)
    In case of eye trauma in which the vitreous hemorrhage or retinal detachment surgery may be required vitrektomi to cleanse the blood and re-attach the retina.

Objectives vitreoretinal surgery:

  • Re-attach the retina loose and peeling the connective tissue on the surface of the retina
  • Clean up the cloudy vitreous hemorrhage or infection
  • Allows the laser action in the retina that were previously blocked by blood or connective tissue

Type of Operation

  • Pneumoretinopeksi: a short operation to re-attach a loose retina (retinal detachment).
  • Scleral buckling: Surgery to re-attach the retina loose.
  • Vitrektomi: This operation requires a special tool, the surgeon will perform surgery within the cavity of the eye balls to clear a cloudy vitreous, embedding re-experiencing vitreous detachment, peeling the connective tissue from the surface of the retina, and other measures are necessary.


 

The success:
Sharp eyesight after vitreoretinal surgery depends on many things, among others:

  • Retina detachments: sharper vision after surgery depends on the state of retinal detachments macula before surgery.
  • Diabetic retinopathy: Improved vitrektomi sharp vision after surgery for diabetic retinopathy depends on:
  1. State of the macula and optic nerve prior to surgery
  2. history of prior laser surgery
  3. general state of the patient
  4. and success in maintaining blood sugar levels within normal limits after surgery
  5. Vitrektomi successful operation for diabetic retinopathy was higher in patients who have undergone prior surgery and lasers enough in patients with good blood sugar control.


 

Complication
A frequent complication after general anesthesia is nausea and vomiting.

Complications due to surgery:
Complications can occur in all operations including vitreoretinal surgery. Operations will only be done if previously thought that the risk of complications from surgery is small compared with the possible rescue of vision if the operation succeeded.

Examples of complications that may occur after vitreoretinal surgery:

  • infection
  • bleeding
  • New retinal detachments, as a complication of surgery
  • Glaucoma
  • cataract