![]() Some people have significantly more vision restored, some less. Retinal pucker surgery is very delicate, and while vision improves in most cases, it does not always return to normal. You will also need to use medicated eye drops to protect against infection. He performs all of his surgeries at his own state-of-the-art surgery center at Safety Harbor Surgery Center.Īfter retinal pucker surgery, you may need to wear an eye patch for the day to protect the eye. Deupree usually performs a vitrectomy and retinal pucker surgery under local anesthesia. Also, the scar tissue which causes the wrinkling is removed. Because the vitreous is mostly water, you will notice no change between the salt solution and the normal vitreous. The surgeon then places a salt solution in the eye where the vitreous once was. Pars plana vitrectomy is a surgical eye procedure where the retina surgeon removes the vitreous gel inside the eye to prevent it from pulling on the retina. When this happens, retinal pucker surgery may be recommended. Neither eye drops, medications, nor nutritional supplements will improve vision distorted from macular pucker. Occasionally, vision deteriorates to the point where it affects daily routine activities. In many cases, the symptoms of vision distortion and blurriness are mild, and no treatment is necessary. If you would like to schedule an appointment, please call us (877) 245.2020.Īuthor Nader Moinfar, M.D.A macular pucker, or retinal pucker, sometimes requires surgery.Ī macular pucker is scar tissue that has formed on the eye’s macula, located in the center of the eye’s light-sensitive tissue called the retina. An exception is the repair of a complete retinal detachment which could take several months to heal and for vision to stabilize. Recovery time depends on the procedure you had, but is generally two to four weeks. You will have to wear an eye patch for a day or two following surgery. The gas bubble is injected as one of the last steps of the surgery. Most retina surgeries take less than an hour and some less than 30 minutes. General anesthesia can be used for patients with dementia, severe anxiety, or young children. In that state you are conscious and still able to hear and follow simple instructions from your surgeon. The sedation is given by IV and is used for anxiety relief and to put you into a relaxed and sleepy state, known as a “twilight state”. Most retina surgery is outpatient surgery and can be done under local anesthetic and mild sedation. Head positioning for retinal detachments depends upon the location of the retinal tear(s). ![]() In cases of macular holes, a face down position is common. Your surgeon will ask you to position yourself in a specific way during healing and that position is dependent on what part of the retina was repaired. The line will move lower each day and your field of vision will get larger as the natural fluid continues to replace the bubble.Īs long as any of the gas bubble remains in your eye you must not fly in an airplane because the bubble can expand in the reduced pressure of the cabin causing severe pain and possible loss of sight. As the bubble dissipates you will see a line across your vision where the gas meets the newly forming fluid which is gradually replacing the bubble. The gas bubble blurs your vision while it is in place. Sulfur hexafluoride (SF 6) dissipates in 10 to 14 days, and perfluoropropane (C 3F 8), in 55 to 65 days. Air dissipates and is replaced by natural fluid in 5 to 7 days. Each of the gases dissipates and is replaced by natural fluid, but the time for complete dissipation varies. The gases commonly used are sulfur hexafluoride (SF 6) and perfluoropropane (C 3F 8), and air. In the case of a macular hole, the gas is used to allow the hole to slide closed by surface tension. In the case of the retinal detachment (specifically a rhegmatogenous retinal detachment which is caused by a retinal tear or retinal hole), the gas is used to block (tamponade) the migration of fluid to through the tear to underneath the retina. The most common use of gas is for repair of a retinal detachment or macular hole. Not all retina surgery requires gas to be injected into the eye. A vitrectomy, the procedure to remove the vitreous, allows the retina specialist specialist to work on the retina.Ī vitrectomy (removal of the vitreous humor gel) is done for the following conditions:Ī tamponade in medical terms is something used to close or block a wound or body cavity to stop bleeding or fluid leakage. To safely work on the retina, your retina specialist must be able to safely access the inner layer of the eye. Not all retina surgery requires injection of a gas bubble.
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