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Why is vitrectomy surgery performed ?

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A vitrectomy is a surgical procedure performed to treat various eye conditions that affect the vitreous humor, which is the gel-like substance that fills the back of the eye. The vitreous plays a role in maintaining the shape of the eye and supporting its internal structures, including the retina. Vitrectomy surgery involves removing some or all of the vitreous gel from the eye and may be performed for several reasons:
 
1. **Retinal Detachment:** Vitrectomy is commonly used to repair retinal detachments. When the retina detaches from the back of the eye, it can lead to vision loss. Vitrectomy is often combined with other procedures to reattach the retina and address any tears or holes that might have caused the detachment.
 
2. **Diabetic Retinopathy:** In advanced stages of diabetic retinopathy, abnormal blood vessels can grow on the surface of the retina, causing bleeding, scar tissue formation, and retinal detachment. Vitrectomy can help remove blood and scar tissue and improve vision.
 
3. **Macular Hole:** A macular hole is a small opening in the center of the retina, which can lead to central vision distortion and loss. Vitrectomy surgery with the removal of the vitreous can help close the hole and improve vision.
 
4. **Epiretinal Membrane (Macular Pucker):** An epiretinal membrane is a thin layer of scar tissue that forms on the surface of the retina, causing distortion and decreased vision. Vitrectomy can be performed to remove the scar tissue and improve visual clarity.
 
5. **Vitreous Hemorrhage:** Bleeding into the vitreous can occur due to various conditions, such as diabetic retinopathy, retinal vein occlusion, or trauma. Vitrectomy may be necessary to remove the blood and allow clearer vision.
 
6. **Floaters:** In some cases, large and persistent floaters (small bits of debris or condensations in the vitreous) can significantly interfere with vision. Vitrectomy can be performed to remove the floaters and improve visual comfort.
 
7. **Infections and Inflammation:** Severe infections or inflammation within the eye (endophthalmitis or uveitis) may require vitrectomy to remove infected or inflamed tissue and restore the health of the eye.
 
8. **Complications of Cataract Surgery:** Occasionally, complications from cataract surgery, such as dislocated lens fragments or persistent vitreous opacities, may necessitate a vitrectomy to address these issues.
 
Vitrectomy is a delicate and specialized procedure performed by ophthalmologists who are trained in surgical techniques involving the eye's internal structures. Recovery from vitrectomy can vary depending on the reason for the surgery and the individual's overall eye health. It's important to follow the post-operative instructions provided by the surgeon to ensure the best possible outcome and reduce the risk of complications.
 
 
 
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on Aug 05, 23