Cataract surgery may be needed within 1 year of vitrectomy surgery. Having a vitrectomy causes cataracts to progress more quickly. Ongoing improvements in surgical techniques and instruments are reducing this likelihood.Ĭataracts: These cause haziness in the lens of the eye and commonly develop as a natural consequence of ageing. Retinal detachment after macular hole surgery occurs for 1 or 2 out of every 100 people. Fortunately, nearly all retinal detachments can be repaired with additional surgery. It can lead to blindness if not repaired. A retinal detachment can occur soon after surgery, and occasionally it can develop months or years later. However, if you have had macular hole surgery, your eye is at greater risk of developing retinal detachment. Retinal detachment: This can occur at any time, even if there has been no surgery. Fortunately, eye infections after surgery are rare, occurring in only 1 of 2000 cases. However, there is a risk that an infection can create severe damage that could lead to blindness in the affected eye. Infection of the eye after surgery: Most infections can be effectively treated if picked up at an early stage. There are 3 main complications of macular hole surgery to be aware of: Possible complications of macular hole surgeryĪny surgical procedure carries a risk of complications and macular hole surgery is no exception. the physical condition of the macular holeĪfter the surgery it can take anywhere from 3–18 months for your vision in the affected eye to reach its best.The amount of visual improvement depends on: Usually, vision recovers to ‘normal’ (6/6) or to the vision required for a driver's licence (6/12) after successful macular hole surgery. However, some people may have more limited improvement in vision and a small percentage of people may not improve very much at all even after successful surgery. Your eye specialist will discuss this with you. Positioning face down allows the gas bubble to press firmly against the macular hole and may slightly increase the chance of the hole closing well. People are usually asked to position themselves face down for five days immediately following the operation.
Eye drops that help healing are used several times each day for four weeks after surgery.
#HOLE IN RETINA REPAIR PATCH#
Laser and freezing treatment may also be used to secure the retina in place.The gas bubble will gradually go away after surgery and is replaced by the gel-like fluid that is produced normally inside the eye.Finally, a gas bubble that completely fills the back of the eye is used to replace the saline solution.Peeling this membrane is important for helping the macular hole to seal.The surgeon then peels a very thin membrane from the surface of the macula surrounding the macular hole.The gel-like substance that fills the eye is removed and replaced with a specially designed saline solution.Using a microscope, the surgeon can use a variety of very specialised instruments placed through these holes to work within the eye.These holes are so small that usually no stitches are required.The surgeon will make very small holes through the white part of the eye.You will be given medicine to help you relax and your eye will be numbed to dull the pain (anaesthesia).There is no other treatment for a macular hole. The surgery is usually done as a day (outpatient) surgery and there is a greater than 95% success rate. A macular hole can be treated and repaired with surgery called a vitrectomy.
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