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Old 11-15-2008, 02:32 PM   #1
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Vitrectomy - Post Surgery

I am 7 days post op for a victrectomy for a retinal detachment. At my check up yesterday, the dr. was not very informative re: small dark flecks I now see in the non-bubble area of the eye. Anyone experience something similar? Also, how long until the so annoying stitches dissolve/fall out? Thanks very much for any input!

Last edited by brendasboys1957; 11-15-2008 at 02:43 PM. Reason: To add a question

 
Old 11-15-2008, 03:13 PM   #2
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Re: Vitrectomy - Post Surgery

I will be having vitrectomy surgery on November 24th for macular pucker/cystoid macular edema. I will also be having a gas bubble. I had the same surgery 2 years ago(without the bubble) but because the membrane on my retina was so thick they did not get it all peeled off which is why I am having it repeated.

This time they will be doing what is called internal limiting membrane peel (ILM) I am told that my vision will remain blurry for 2 or 3 weeks until the bubble dissolves at which time I should start to see an improvement. It shouldn't take too long for the stiches to dissolve ( if I remember right from my first surgery it took 2 or 3 weeks) How does that bubble affect your vision right now and what are your restrictions? Do you have to remain in a head down position? I believe that is only for macular hole. The small dark flecks that you are seeing in your vision are floaters, and they will go away in a short time. I wish you a speedy and successful recovery. I will post again after my surgery.

Sharon

Last edited by Dancinboots; 11-28-2008 at 05:48 AM.

 
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Old 11-15-2008, 05:34 PM   #3
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Re: Vitrectomy - Post Surgery

Thank you so much for your reply, it's quite encouraging to hear that these new small floaters are likely normal, and to have a date to which I can look forward as far as no more *****ly stitches.

As I did not have the macular issue, I had to "position" only for 1 day. The hospital sent me home with a very helpful foam form on which I could rest my face; it had a cutout in the middle which allowed for a number of positions depending upon specifics of the case. My son positioned a small chest height table in front of me as I was seated comfortably on the couch, and a friend brought me books on CD from the local library, as I was not to watch TV or read for just the day. I was in some pain as the anesthetic wore off, (but to be quite honest my pain threshhold is almost non-existent, I'm not proud of this), and took the pain medication prescribed; this allowed me to doze lightly while I attempted to follow the story I listened to, and the day passed easily. I was told to sleep only on my left side, as this would allow the bubble to float up to rest against (hopefully) the sight of my tear.

The bubble is a mixture of irritating and amusing, as it acts exactly as the bubble in a carpenters level, and is completely visible to me. My Dr. said it would dissipate in approx. 3 weeks, and it is exactly on schedule. The sight above it (yes I know it is actually below the bubble that I can see, but of course it appears to be above), is obscurred still, as the eye remains just a bit swollen and full of rather thick ointments and drops, and is still quite dilated. The dilation drops are very powerful, the dr. explained, and though I stopped using those yesterday, (6 days post op), the effects can take up to 2 weeks to fade, thus I have the sight normal when dilated. The bubble itself allows almost no sight, but the perception of shape and light, and the edge of it is very clearly visible as it floats and reacts to your movement. At times I can see the rythym of my heartbeat when I am very still, as when I am about to fall asleep.

I went back to work as an accountant 4 days post op, and would advise you not to do so if not necessary. Of course, it will depend so much on what degree of work they do in your eye as to how long you will need to do the positioning, and how long you will be advised to recover.

Again, I can't thank you enough for your response, it's cheered me immensly! Many thanks and such good luck in your upcoming surgery. Anything I might be able to add, please ask - Brenda

 
Old 11-16-2008, 08:50 AM   #4
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Re: Vitrectomy - Post Surgery

Hi Brenda

I asked my Retina doctor whether or not I would have to be in a face down position after my surgery, and he said no. It is mainly for a macular hole and sometimes it is for up to 10 days. Can you imagine!! Lucky for you that you only had to do it for 1 day.

My Dr. did say he may want me to sleep on my side for at least a day, but that's no problem, I already do that. Also he said no flying for a short time until the bubble disolves. Sounds like I am in for some strange sensations with the bubble. Sounds like I will be as blind as a bat until the bubble dissolves. I will have a patch over my eye for the first day and night. The following day I will go for a follow up and then I will probably have to wear the eye shield over my eye for at least a week or so. I was told that I would have to take it easy for about a week.

I am very excited about having this surgery repeated. I really feel it is going to help me this time when they get rid of the remainder of the membrane. How is you vision after your surgery? What exactly is a retinal detatchment?

Sharon

 
Old 04-02-2011, 11:26 AM   #5
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Re: Vitrectomy - Post Surgery

Do you know why they didn't get the entire Macular pucker the first time ? Are you angry about that ? I am facing surgery for a thick membrane pucker this week and am freeking out about having to have it done again in the future should Dr. not get it all.
I am even thinking about cancelling surgery and "leaving well enough alone", which is 20/200 in the affected eye. I think that I can live with it like this IF it is stabilized (can they tell ? ) but I don't think I can live with a life of repeated surgeries and Dr. visits.
Please let me know what you think.

 
Old 04-15-2011, 08:32 PM   #6
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Smile Re: Vitrectomy - Post Surgery

Hi!
I had Vitrectomy in 2/2008 at UNC. 63yo male, miami, had previous cataracts, implants, high myopia and had peel. I was also steroid reacter so I could not have the "good" drops to reduce swelling-which I still have , about 360 on "OCT". I took Acular on long term, but discontinued now. Healing is VERY slow. Vision is testing at 20/30 sometimes better, but letters bounce around! Drs at Bascom, think a great job was done. All in all, it is MUCH better!! Tell me all about your experiences and your past vision history. ..message me for much more...Marshall

 
Old 04-21-2011, 11:41 AM   #7
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Re: Vitrectomy - Post Surgery

I had a vitrectomy following a retinal detachment 12 months ago. I had cataract surgery 4 months ago (due to the gas bubble injected in my eye). I am now noticing quite a few floaters. My retina doc said my retina is fine and I am not due back to see him for a year. These floaters are really bothering me however and causing me anxiety (maybe just a post-trauma thing). Anyone else have extensive floaters post-vitrectomy? I see between 5 and 15 depending on the amount of light. Also, I still have vitreous 'wobbles' where I see a bit of something slide around in my perpheral? Any thoughts?

 
Old 05-10-2011, 05:51 PM   #8
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Re: Vitrectomy - Post Surgery

No thoughts on that, but am wondering how you've been doing since you've posted this.
Do you have any news on what is going on with your floaters, etc. ???

 
Old 05-10-2011, 06:02 PM   #9
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Re: Vitrectomy - Post Surgery

The floaters have diminished somewhat, but I still have 1-2 that cross my line of sight daily. They seem to trigger anxiety even though they are not a sign of any pathology. The thing that I now notice, is that there is more blurring in the lower half and side of my lens implant. I was told I may need a YAG procedure later on. I also have these (I guess) vitreous wobbles from time to time that I can see moving and they cause a sharp flash every now and again, especially when I use the computer. I guess my eyes will never be the same and I just have to learn to adjust to these oddities. It is upsetting however, because I never feel totally at peace that everything is okay.

 
Old 05-11-2011, 06:50 AM   #10
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Re: Vitrectomy - Post Surgery

Cale, Sounds like you are making improvements. Since I haven't had the surgery yet I am still wondering if I am "betting on a 3-legged horse" with the potential benefits of getting the Macular pucker scar tissue out, and the many many potential complications of the surgery.
Do you regret having yours done?

I also was told it could b even 1-2 years before I notice improvement after surgery...which would put me exactly in the place where you are at now without having the peace of ever knowing if things have stabilized.
I guess that is part of life though, no guarantees.

Just mostly wondering if you have any regrets on surgeon, surgery or maybe questions you wished you would have asked before going thru with it ?

Thank you !, and I wish you all the best.

 
Old 05-11-2011, 08:46 AM   #11
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Re: Vitrectomy - Post Surgery

I did not have an option unfortunately. My surgery was necessary to repair retinal detachments. My surgeon determined that I should also have a vitrectomy and the buckles. I will never know if the very first surgery I had for a cataract and subsequent YAG procedure caused my retinal detachment or not. There is a risk of this following cataract surgery if you have a pre-disposition. In my case, both my dad and aunt had retinal detachments. I researched different doctors and had 2 retinal exams before the cataract surgery, so I did my due diligence. It is not a perfect science. I ended up at Jules Stein at UCLA that I greatly recommend. I don't have any regrets with what I did but I will tell you to ask lots of questions, insist on being seen if you have any concerns post-surgery, and in the end, trust the doctors (tough one for me). It is a very emotional issue regarding your sight and I am still processing the loss of my perfect vision prior to all of this. I am however, extremely grateful I have sight in both eyes and had the best care and support I could have. Long journey for me, but everyone is different. I have gained tremendous insight (no pun intended!) along the way which has been invaluable.

 
Old 05-12-2011, 06:42 AM   #12
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Re: Vitrectomy - Post Surgery

Sounds like you have a great attitude Cale. Thanks for the reminder to not hesitate to see the Doctor post-surgery should anything unusual come up. Having no surgery experience to draw from, it will be hard to know what is "normal" and what is not.

Did you have "general anesthesia" or just a local ? Any other complications or reactions to the drops or meds ?

 
Old 05-12-2011, 09:07 AM   #13
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Re: Vitrectomy - Post Surgery

I had a general for the retinal surgeries and a local for the cataract surgeries. The docs may not give you a choice, but if they do, go with the local. The recovery time is much faster and you don't have any nausea if you are prone to that. You will be very relaxed under the local so there should be no fear. I had a reaction to the prednisone after 10 weeks on it where I had itchy eyes and discomfort. I went in first to ensure I didn't have inflammation or infection. They may tell you to finish out the prednisone but I think 8 weeks is sufficient if all is healing well. Don't stop taking your meds unless they say it's okay however. What is the surgery you are having?

 
Old 05-12-2011, 11:25 AM   #14
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Re: Vitrectomy - Post Surgery

Cale, It's a Victrectomy / ERM (macular pucker) peel. The ERM is blocking my macula and causing big blank spots in my vision in that eye.
I just found out that I am prescribed the following, and am not sure which one you might be referring to as the one to only take 8 wks.
VIGAMOX (antibiotic) 4x day for 3 days post surgery ($100 per bottle)
OMNIPRED (prednisolone acetate=steroid drops I believe) 4xday for 3 weeks post surgery
NEVANAC (non-steroidal anti-inflam.) 3xday for 3 MONTHS ???? after surgery

I just quickly looked up Nevanac and it says on ***** website not to take more than 14 days or serious side effects. WHAT ???
Have you heard of this Nevanac ?

 
Old 05-12-2011, 04:59 PM   #15
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Re: Vitrectomy - Post Surgery

I never heard of Nevanac but the other meds sound like the right protocol for post-op.Is a retinal specialist doing the surgery?

 
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