Vitrectomy Surgery Procedure

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What is the primary purpose of vitrectomy surgery?

To restore patient's vision and treat underlying conditions

What happens to the vitreous gel in certain disease states?

It becomes opaque

Why is the surgeon unable to visualize the retina in certain cases?

Because of the opaque vitreous

What can the formation of membranes lead to?

Traction-type or rhegmatogenous retinal detachment

When is vitrectomy surgery indicated?

When the patient's vision is severely decreased due to opaque vitreous gel

Study Notes

Vitrectomy

  • Vitrectomy is the removal of all or part of the vitreous gel (body) in the eye.
  • In a broader sense, vitrectomy surgery can also involve the excision and removal of:
    • Fibrotic membranes
    • Epiretinal membranes
    • Electrocoagulation of bleeding vessels

Normal Vitreous Gel

  • In its normal state, the vitreous gel is transparent.

Disease States

  • In certain disease states, bleeding from damaged or newly formed vessels may cause the vitreous to become opaque.
  • Opaque vitreous can severely decrease vision.
  • The surgeon is unable to visualize the retina and treat the underlying pathologic condition before permanent damage occurs.

Indications for Vitrectomy Surgery

  • Vitrectomy surgery is indicated to:
    • Restore the patient's vision
    • Allow the surgeon to institute treatment if indicated
    • Relieve underlying pathologic processes leading to decreased vision

Formation of Membranes

  • Formation of membranes can block the visual axis and cause decreased vision.
  • Contraction of these membranes may produce traction-type or rhegmatogenous retinal detachment (RD).

Vitrectomy is a surgical procedure that involves the removal of vitreous gel from the eye, often performed to treat conditions causing vision loss. The surgery also removes fibrotic membranes and bleeding vessels.

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