Recovering from a
Vitrectomy
If a doctor has told you that you need to have a vitrectomy, you’re probably
confused and concerned about having a procedure and not knowing what to expect.
A vitrectomy is simply the removal and replacement of the vitreous, or the fluid
that fills the eye. While this is a fairly simple procedure, proper recovery
techniques are very important. While you should always follow your doctor’s
advice, there are several steps you can expect to be told to take. These
procedures are important to help your eye heal and prevent infection, but they
may also be vital to the surgery working at all.
Directly after your surgery, your doctor will probably fit you with an eye
patch. It is important to leave the patch on until it is removed by your doctor
or a nurse. During surgery, your doctor will numb your eyelid to prevent it from
blinking. While this makes the surgery easier to perform, it also prevents you
from properly cleaning and lubricating your eye until the anesthesia wears off.
If you remove the patch before you are able to blink properly, you risk
infecting the eye. This can turn a simple procedure into a much more serious
problem.
Once the eye patch is removed, you should begin using the eye drops your doctor
prescribed (unless they instruct you to use them ahead of time). Generally you
will be given two types of eye drops: one to reduce inflammation and swelling,
and another to prevent infection. They should be used for as long as your doctor
recommends.
You may experience pain and discomfort after the surgery. This should be
relieved by placing an ice pack on the affected area. This reduces swelling and
pressure and therefore pain. If this doesn’t get rid of all the pain, you may
consider taking Tylenol or another pain reliever, but be sure to ask your doctor
first before you take anything. If pain is severe or persists for more than a
few days, you should go to see your doctor.
If your vitrectomy was performed to correct retinal detachment, a macular hole,
or any other condition that required a small gas bubble to be inserted into the
eye, the most important step for recovery is to have your face pointing downward
most of the day. The specific amount of time per day should be specified by your
doctor. The pressure of the gas bubble on the problem area assists in healing.
Generally the problem is at the back of the eye. So when you tilt your head
downward, the tiny bubble floats to the top; allowing healing to occur. This
position may seem uncomfortable and unnatural, but if you don’t do it enough,
your surgery will likely be of little help to your problem. Your doctor may
provide a cushion to rest your head in, but there are also companies that make
equipment that is more convenient and comfortable. You may think spending the
money is unnecessary, but some people may find it terribly uncomfortable to do
and be less likely to stay in this position as long as they should. And as I
already said; the less time you spend with your face down, the less likely you
are to heal.
Once the eye patch is removed, feel free to use your eye. You may have trouble
seeing for a little while, but the condition should improve as your eye
naturally replaces the fluid. Hopefully these steps along with your doctor’s
advice, will help you recover quickly from your vitrectomy.