{"id":13874,"date":"2022-03-26T10:30:16","date_gmt":"2022-03-26T09:30:16","guid":{"rendered":"https:\/\/www.ocho.pl\/treatment\/witrektomia\/"},"modified":"2023-07-13T15:32:42","modified_gmt":"2023-07-13T13:32:42","slug":"vitrectomy","status":"publish","type":"page","link":"https:\/\/www.ocho.pl\/en\/treatment\/vitrectomy\/","title":{"rendered":"Vitrectomy"},"content":{"rendered":"<div class=\"wpb-content-wrapper\"><p>[vc_row ts_bgcolor=&#8221;primarydarkgrey&#8221;][vc_column width=&#8221;2\/3&#8243;][vc_empty_space]<h2 style=\"text-align:left;\" class=\"ts-custom-heading \" >What is a vitrectomy surgery?<\/h2>\n[vc_column_text]It is a group of ophthalmological procedures regarding deep structures of the eye, i.e. located behind the lens. Literally, vitrectomy means a procedure to remove the vitreous humour, a jelly substance filling the inside of the eye. However, it may also be used to treat numerous diseases of the eye retina, i.e. a delicate tissue responsible for vision. This is a procedure saving not only vision, but also the eye itself, e.g. in the case of infective endophthalmitis. It is also performed in eye injuries, especially those involving injury of the eye walls. Vitrectomy performed within 2 weeks of the injury allows for recovery of the eye performance, even if there is no light sensation in the injured eye.<\/p>\n<hr \/>\n<h2><strong>How is it carried out?<\/strong><\/h2>\n<p>It is a surgical procedure involving performance of very small (less than 1 mm long) incisions in the eye wall. They are used to introduce tools and substances into the eye interior, necessary to perform the procedure. Depending on the disease type, the eye is filled with:<\/p>\n<ul>\n<li>physiological fluid,<\/li>\n<li>gas (disappears after 2-4 weeks),<\/li>\n<li>silicon oil (mainly in the case of eyes with advanced pathological lesions or after injuries. The oil requires subsequent removal).<\/li>\n<\/ul>\n<p>In most cases, the surgery does not require suturing, and the patient stays at the centre only one day. The first postoperative control takes place within 2 weeks after the procedure, and another one after 4-6 weeks. Certain cases require a little more frequent control visits.<\/p>\n<hr \/>\n<h2><strong>What can be treated with vitrectomy?<\/strong><\/h2>\n<p>Vitrectomy is used in the treatment of numerous diseases. They include:[\/vc_column_text][vc_row_inner css=&#8221;.vc_custom_1648411208328{margin-top: -25px !important;}&#8221;][vc_column_inner width=&#8221;1\/2&#8243;]<ul class=\"ts-list ts-list-style-icon ts-list-icon-color-skincolor ts- ts-icon-skincolor ts-list-textsize- ts-list-icon-library-fontawesome\"><li><i class=\"ts-skincolor fa fa-caret-right\"><\/i>  <span class=\"ts-list-li-content\">retinal detachment \u2013 retina is a delicate and irreplaceable structure, whose separation from the eye wall (comparable to separation of the wallpaper from the wall) results in the loss of vision (\u201cblack curtain\u201d),<\/span><\/li><li><i class=\"ts-skincolor fa fa-caret-right\"><\/i>  <span class=\"ts-list-li-content\">intraocular haemorrhage, regardless of its origin, since the removal of blood itself gives almost immediate improvement in vision,<\/span><\/li><li><i class=\"ts-skincolor fa fa-caret-right\"><\/i>  <span class=\"ts-list-li-content\">vitreous opacities of various origin,<\/span><\/li><li><i class=\"ts-skincolor fa fa-caret-right\"><\/i>  <span class=\"ts-list-li-content\">macular holes,\n<\/span><\/li><\/ul>[\/vc_column_inner][vc_column_inner width=&#8221;1\/2&#8243;]<ul class=\"ts-list ts-list-style-icon ts-list-icon-color-skincolor ts- ts-icon-skincolor ts-list-textsize- ts-list-icon-library-fontawesome\"><li><i class=\"ts-skincolor fa fa-caret-right\"><\/i>  <span class=\"ts-list-li-content\">epiretinal membranes resulting in image deformation and vision deterioration,<\/span><\/li><li><i class=\"ts-skincolor fa fa-caret-right\"><\/i>  <span class=\"ts-list-li-content\">diabetic retinopathy at various stages of advancement, and diabetic macular edema, in which diabetic lesions affect the most important site for vision- macula lutea,<\/span><\/li><li><i class=\"ts-skincolor fa fa-caret-right\"><\/i>  <span class=\"ts-list-li-content\">macular edema after central retinal vein occlusion (both the occlusion of the main stem or of venous branch), and after uveitis,<\/span><\/li><li><i class=\"ts-skincolor fa fa-caret-right\"><\/i>  <span class=\"ts-list-li-content\">certain cases of age-related macular degeneration.<\/span><\/li><\/ul>[\/vc_column_inner][\/vc_row_inner][vc_separator]<h2 style=\"text-align:left;\" class=\"ts-custom-heading \" >FAQ<\/h2>\n[vc_tta_accordion active_section=&#8221;111&#8243; collapsible_all=&#8221;true&#8221;][vc_tta_section title=&#8221;What is vitrectomy?&#8221; tab_id=&#8221;1644268721449-dd2519c0-e524&#8243;][vc_column_text]Vitrectomy is a group of ophthalmological procedures regarding deep structures of the eye i.e. located behind the lens. Vitrectomy literally means excision of the vitreous humour, but it is primarily used in the treatment of numerous diseases of the retina, a delicate tissue responsible for vision. This surgery is used in the treatment of e.g. retinal detachment, advanced diabetic retinopathy, intraocular haemorrhage of various origin, macular diseases \u2013 epimacular membranes, macular holes. Vitrectomy is a vision and eye-saving procedure in the case of severe endophthalmitis and serious eye injuries. In such cases, the surgery should be performed as soon as possible, since the time that elapsed since the beginning of infection or injury to the implementation of treatment decides of its success.[\/vc_column_text][\/vc_tta_section][vc_tta_section title=&#8221;What is phacovitrectomy and when is it carried out?&#8221; tab_id=&#8221;1648283179987-d966c0f6-aff6&#8243;][vc_column_text]It is a combined procedure, including not only vitrectomy, but also removal of the patient&#8217;s own lens. The lens is removed with the method of phacoemulsification (see FAQ \u2013 cataract). This stage of the procedure precedes the vitrectomy as such. The combined surgery is performed usually when the patient&#8217;s own lens is opacified (cataract) and makes it difficult to visualise the posterior eye segment structures.[\/vc_column_text][\/vc_tta_section][vc_tta_section title=&#8221;Is vitrectomy carried out with the use of a laser?&#8221; tab_id=&#8221;1648283202433-c5963b73-1d5d&#8221;][vc_column_text]Vitrectomy, i.e. excision of the vitreous humour: and removal of abnormalities from the retinal surface (membranes, tractions, blood, etc.) is performed with the use of a pneumatic knife (vitrectom) combined with a specialist device used to perform microincisions. In this type of surgery, we also use an ophthalmological laser, but as an accessory device for the treatment of retina only, e.g. in diabetic retinopathy or to strengthen the retina after its attachment \u2013 laser treatment of peripheral retinal tears or degenerative areas.[\/vc_column_text][\/vc_tta_section][vc_tta_section title=&#8221;How long is such a surgery?&#8221; tab_id=&#8221;1648283225272-26425eab-7ddb&#8221;][vc_column_text]Duration of the procedure depends on the type of medical problem that is dealt with. In the event of removal or epimacular membrane or closure of the macular hole, the time usually does not exceed 1 hour. However, if we deal with retinal detachment or proliferative diabetic retinopathy, the time of the surgery may be longer[\/vc_column_text][\/vc_tta_section][vc_tta_section title=&#8221;Will I be put to sleep during the procedure?&#8221; tab_id=&#8221;1648283252953-719435a1-585c&#8221;][vc_column_text]Most vitrectomy\/phakovitrectomy surgeries do not require general anaesthesia. We usually use regional anaesthesia: we administer an anaesthetic agent around the operated eye, and additionally intravenous sedative and analgesic agents. Sometimes, especially if we deal with a complex situation in the eye itself (e.g. post-traumatic lesions, tractional retinal detachment), or we expect a non-cooperative patient (children, persons with intellectual disability, diseases with head or whole body twitching), we use general anaesthesia.[\/vc_column_text][\/vc_tta_section][vc_tta_section title=&#8221;Is the procedure painful?&#8221; tab_id=&#8221;1648283269782-c77b30dd-ab03&#8243;][vc_column_text]The procedure is not painful. The surgery is performed under local anaesthesia with additional support of an anaesthesiologist who administers sedative, and, as prophylaxis, analgesic agents. Before the procedure, we give an injection into the eye area with a mixture of topical anaesthetic agents, in order to eliminate pain sensation at the surgical site. When the injection is administered, the patient may have a pricking sensation and slight spreading force around the eye, but then, during the whole procedure and up to 3 hours after that, sensation is eliminated.[\/vc_column_text][\/vc_tta_section][vc_tta_section title=&#8221;Can any complications occur after the procedure?&#8221; tab_id=&#8221;1648283297174-c5796f68-59f3&#8243;][vc_column_text]Every surgical intervention is associated with a potential risk of both intra- and postoperative complications. Such complications, fortunately, are very rare in ophthalmological surgery, and, if early diagnosed, may be effectively treated.[\/vc_column_text][\/vc_tta_section][vc_tta_section title=&#8221;What are possible complications after vitrectomy?&#8221; tab_id=&#8221;1648283317964-8348bd25-fd85&#8243;][vc_column_text]They are usually mild and transient \u2013 conjunctival edema, subconjunctival haemorrhage, slight bleeding into the eye interior, retinal edema after macular peeling, corneal edema after phacovitrectomy. All of them regress spontaneously. Serious complications after the surgery are very rare, but they may be effectively treated. These include: retinal detachment, haemorrhage into the eye interior, infective endophthalmitis. All require urgent reoperation; therefore, the information card contains the following warning: In the event of sudden pain or loss of vision, you must immediately contact the Centre.[\/vc_column_text][\/vc_tta_section][vc_tta_section title=&#8221;How long after the procedure should I have a sparing lifestyle?&#8221; tab_id=&#8221;1648283344612-27b5f648-1892&#8243;][vc_column_text]We usually request the patient to restrict his\/her usual activity up to a month after the procedure. This primarily refers to excessive muscular exercise (lifting heavy objects, doing competitive sport, physical work, especially in dusting conditions \u2013 construction, car workshops). In patients to whose eye gas was introduced, it is important to keep the head in a determined position (most frequently, face down) for a few days, which additionally limits their normal activity. Moreover, the gas left in the eye initially obstructs vision, which excludes driving a car or watching TV. In addition, after gas administration, the patient is requested not to fly planes or go to high mountains for about a month, since at larger heights, gas may excessively expand and cause painful increase of ocular pressure.[\/vc_column_text][\/vc_tta_section][vc_tta_section title=&#8221;Do I need to have the surgery now, or can I wait, and how long?&#8221; tab_id=&#8221;1648283368566-42fa21d5-e08f&#8221;][vc_column_text]The optimal time of the surgery depends on what kind of disease is treated. In the case of retinal detachment, especially when the macula is attached, the surgery must be performed as emergency. Similarly, in a post-traumatic eye or in the event of infection. Macular diseases &#8211; epimacular membranes, edema with traction or macular hole do not require immediate surgery. However, protracting the procedure for too long may limit the effect of the surgery, despite its correct performance. If the ocular pathology lasts for too long, a significant and permanent limitation of the retinal function may develop, even if the pathology is finally removed.[\/vc_column_text][\/vc_tta_section][vc_tta_section title=&#8221;Do I have to stay at the department after the procedure?&#8221; tab_id=&#8221;1648283391700-104d07f3-df2b&#8221;][vc_column_text]The surgery is performed as a one-day procedure. After the surgery, the patient is under the care of the medical facility personnel. The duration of the patient&#8217;s stay depends on his\/her general feeling. After he\/she receives a hospital discharge summary, the patient may leave the hospital.[\/vc_column_text][\/vc_tta_section][\/vc_tta_accordion][\/vc_column][vc_column width=&#8221;1\/3&#8243;][vc_empty_space][vc_row_inner equal_height=&#8221;yes&#8221; el_class=&#8221;ts-discount-box osrodki&#8221;][vc_column_inner]<div class=\"ts-vc_icon_element ts-vc_icon_element-outer ts-vc_icon_element-align-center  ts-vc_icon_element-have-style vc_custom_1646823477191\"><div class=\"ts-vc_icon_element-inner  ts-vc_icon_element-have-style-inner ts-vc_icon_element-color-white ts-vc_icon_element-size-lg ts-vc_icon_element-style-rounded ts-vc_icon_element-background ts-vc_icon_element-background-color-custom\"  style=\"background-color:#325575\"><span class=\"ts-vc_icon_element-icon tsoptmicon flaticon-eye\" ><\/span><\/div><\/div><h4 style=\"text-align:center;font-size:25px;line-height:35px;color:#325575;font-family:'Montserrat',Arial,Helvetica;font-weight:700;\" class=\"ts-custom-heading \" >Witrektomia<\/h4>\n<h6 style=\"text-align:center;color:#ffffff;font-family:'Montserrat',Arial,Helvetica;font-weight:700;\" class=\"ts-custom-heading \" >price depends on the type of the surgery<\/h6>\n<h3 style=\"text-align:center;font-size:50px;line-height:60px;color:#ffffff;font-family:'Montserrat',Arial,Helvetica;font-weight:700;\" class=\"ts-custom-heading ts-skincolor vc_custom_1652987779049\" ><\/h3>\n[vc_empty_space][\/vc_column_inner][\/vc_row_inner][vc_empty_space][vc_row_inner equal_height=&#8221;yes&#8221; el_class=&#8221;ts-discount-box osrodki&#8221;][vc_column_inner]<h4 style=\"text-align:center;font-size:22px;line-height:32px;color:#325575;font-family:'Montserrat',Arial,Helvetica;font-weight:700;\" class=\"ts-custom-heading vc_custom_1646823939867\" >Available at:<\/h4>\n[vc_empty_space height=&#8221;20px&#8221;]\r\n\t\t<div class=\"ts-vc_btn3-container  btnosr ts-vc_btn3-left\"><a class=\"ts-vc_general ts-vc_btn3 ts-vc_btn3-size-lg ts-vc_btn3-shape-rounded ts-vc_btn3-style-flat ts-vc_btn3-weight-no ts-vc_btn3-icon-left ts-vc_btn3-color-blue\" href=\"https:\/\/www.ocho.pl\/en\/eye-surgery-centres\/krakow\/\" title=\"Eye Surgery Centre in Krak\u00f3w\"><i class=\"ts-vc_btn3-icon tsoptmicon flaticon-optometrist-10\"><\/i> <strong>KRAK\u00d3W<\/strong><br \/>\nEye Surgery Centre<\/a><\/div>\r\n\t\t<div class=\"ts-vc_btn3-container  btnosr ts-vc_btn3-left\"><a class=\"ts-vc_general ts-vc_btn3 ts-vc_btn3-size-lg ts-vc_btn3-shape-rounded ts-vc_btn3-style-flat ts-vc_btn3-weight-no ts-vc_btn3-icon-left ts-vc_btn3-color-blue\" href=\"https:\/\/www.ocho.pl\/en\/eye-surgery-centres\/naleczow\/\" title=\"Eye Surgery Centre in Na\u0142\u0119cz\u00f3w\"><i class=\"ts-vc_btn3-icon tsoptmicon flaticon-eye-1\"><\/i> <strong>NA\u0141\u0118CZ\u00d3W<\/strong><br \/>\nEye Surgery Centre<\/a><\/div>\r\n\t\t<div class=\"ts-vc_btn3-container  btnosr ts-vc_btn3-left\"><a class=\"ts-vc_general ts-vc_btn3 ts-vc_btn3-size-lg ts-vc_btn3-shape-rounded ts-vc_btn3-style-flat ts-vc_btn3-weight-no ts-vc_btn3-icon-left ts-vc_btn3-color-blue\" href=\"https:\/\/www.ocho.pl\/en\/eye-surgery-centres\/nowy-sacz\/\" title=\"Eye Surgery Centre in Nowy S\u0105cz\"><i class=\"ts-vc_btn3-icon tsoptmicon flaticon-optometrist-11\"><\/i> <strong>NOWY S\u0104CZ<\/strong><br \/>\nEye Surgery Centre<\/a><\/div>\r\n\t\t<div class=\"ts-vc_btn3-container  btnosr ts-vc_btn3-left\"><a class=\"ts-vc_general ts-vc_btn3 ts-vc_btn3-size-lg ts-vc_btn3-shape-rounded ts-vc_btn3-style-flat ts-vc_btn3-weight-no ts-vc_btn3-icon-left ts-vc_btn3-color-blue\" href=\"https:\/\/www.ocho.pl\/en\/eye-surgery-centres\/eye-surgery-centre-in-rzeszow\/\" title=\"Eye Surgery Centre in Rzesz\u00f3w\"><i class=\"ts-vc_btn3-icon tsoptmicon flaticon-optometrist-1\"><\/i> <strong>RZESZ\u00d3W<\/strong><br \/>\nEye Surgery Centre<\/a><\/div>[\/vc_column_inner][\/vc_row_inner][vc_empty_space][\/vc_column][\/vc_row]<\/p>\n<\/div>","protected":false},"excerpt":{"rendered":"<p>[vc_row ts_bgcolor=&#8221;primarydarkgrey&#8221;][vc_column width=&#8221;2\/3&#8243;][vc_empty_space][vc_column_text]It is a group of ophthalmological procedures regarding deep structures of the eye, i.e. located behind the lens. Literally, vitrectomy means a procedure to remove the vitreous humour, a jelly substance filling the inside of the eye. However, it may also be used to treat numerous diseases of the eye retina, i.e. a &hellip; <a href=\"https:\/\/www.ocho.pl\/en\/treatment\/vitrectomy\/\" class=\"more-link\">Continue reading <span class=\"screen-reader-text\">Vitrectomy<\/span><\/a><\/p>\n","protected":false},"author":1,"featured_media":0,"parent":13749,"menu_order":0,"comment_status":"closed","ping_status":"closed","template":"","meta":{"_acf_changed":false,"footnotes":"","_links_to":"","_links_to_target":""},"class_list":["post-13874","page","type-page","status-publish","hentry"],"acf":[],"aioseo_notices":[],"aioseo_head":"\n\t\t<!-- All in One SEO 4.9.10 - aioseo.com -->\n\t<meta name=\"description\" content=\"Vitrectomy is a group of ophthalmological procedures regarding deep structures of the eye, i.e. located behind the lens.\" \/>\n\t<meta name=\"robots\" content=\"max-snippet:-1, max-image-preview:large, max-video-preview:-1\" \/>\n\t<meta name=\"google-site-verification\" content=\"L0bZlDviZXkUAFgNUtHmSunuMggtuwAKk2smootvzbE\" \/>\n\t<link rel=\"canonical\" href=\"https:\/\/www.ocho.pl\/en\/treatment\/vitrectomy\/\" \/>\n\t<meta name=\"generator\" content=\"All in One SEO (AIOSEO) 4.9.10\" \/>\n\t\t<meta property=\"og:locale\" content=\"en_US\" \/>\n\t\t<meta property=\"og:site_name\" content=\"OCHO Medical Group of Professor Zag\u00f3rski\" \/>\n\t\t<meta property=\"og:type\" content=\"article\" \/>\n\t\t<meta property=\"og:title\" content=\"Witrektomia\" \/>\n\t\t<meta property=\"og:description\" content=\"Vitrectomy is a group of ophthalmological procedures regarding deep structures of the eye, i.e. located behind the lens.\" \/>\n\t\t<meta property=\"og:url\" content=\"https:\/\/www.ocho.pl\/en\/treatment\/vitrectomy\/\" \/>\n\t\t<meta property=\"og:image\" content=\"https:\/\/www.ocho.pl\/wp-content\/uploads\/2022\/04\/witrektomia.jpg\" \/>\n\t\t<meta property=\"og:image:secure_url\" content=\"https:\/\/www.ocho.pl\/wp-content\/uploads\/2022\/04\/witrektomia.jpg\" \/>\n\t\t<meta property=\"og:image:width\" content=\"1200\" \/>\n\t\t<meta property=\"og:image:height\" content=\"800\" \/>\n\t\t<meta property=\"article:published_time\" content=\"2022-03-26T09:30:16+00:00\" \/>\n\t\t<meta property=\"article:modified_time\" content=\"2023-07-13T13:32:42+00:00\" \/>\n\t\t<meta property=\"article:publisher\" content=\"https:\/\/www.facebook.com\/ochoprofzagorskiego\" \/>\n\t\t<meta name=\"twitter:card\" content=\"summary_large_image\" \/>\n\t\t<meta name=\"twitter:title\" content=\"Witrektomia\" \/>\n\t\t<meta name=\"twitter:description\" content=\"Vitrectomy is a group of ophthalmological procedures regarding deep structures of the eye, i.e. located behind the lens.\" \/>\n\t\t<meta name=\"twitter:image\" content=\"https:\/\/www.ocho.pl\/wp-content\/uploads\/2022\/04\/witrektomia.jpg\" \/>\n\t\t<meta name=\"twitter:label1\" content=\"Written by\" \/>\n\t\t<meta name=\"twitter:data1\" content=\"ocho\" \/>\n\t\t<meta name=\"twitter:label2\" content=\"Est. reading time\" \/>\n\t\t<meta name=\"twitter:data2\" content=\"11 minutes\" \/>\n\t\t<script type=\"application\/ld+json\" class=\"aioseo-schema\">\n\t\t\t{\"@context\":\"https:\\\/\\\/schema.org\",\"@graph\":[{\"@type\":\"BreadcrumbList\",\"@id\":\"https:\\\/\\\/www.ocho.pl\\\/en\\\/treatment\\\/vitrectomy\\\/#breadcrumblist\",\"itemListElement\":[{\"@type\":\"ListItem\",\"@id\":\"https:\\\/\\\/www.ocho.pl\\\/en\\\/#listItem\",\"position\":1,\"name\":\"Home\",\"item\":\"https:\\\/\\\/www.ocho.pl\\\/en\\\/\",\"nextItem\":{\"@type\":\"ListItem\",\"@id\":\"https:\\\/\\\/www.ocho.pl\\\/en\\\/treatment\\\/#listItem\",\"name\":\"Treatment\"}},{\"@type\":\"ListItem\",\"@id\":\"https:\\\/\\\/www.ocho.pl\\\/en\\\/treatment\\\/#listItem\",\"position\":2,\"name\":\"Treatment\",\"item\":\"https:\\\/\\\/www.ocho.pl\\\/en\\\/treatment\\\/\",\"nextItem\":{\"@type\":\"ListItem\",\"@id\":\"https:\\\/\\\/www.ocho.pl\\\/en\\\/treatment\\\/vitrectomy\\\/#listItem\",\"name\":\"Vitrectomy\"},\"previousItem\":{\"@type\":\"ListItem\",\"@id\":\"https:\\\/\\\/www.ocho.pl\\\/en\\\/#listItem\",\"name\":\"Home\"}},{\"@type\":\"ListItem\",\"@id\":\"https:\\\/\\\/www.ocho.pl\\\/en\\\/treatment\\\/vitrectomy\\\/#listItem\",\"position\":3,\"name\":\"Vitrectomy\",\"previousItem\":{\"@type\":\"ListItem\",\"@id\":\"https:\\\/\\\/www.ocho.pl\\\/en\\\/treatment\\\/#listItem\",\"name\":\"Treatment\"}}]},{\"@type\":\"Organization\",\"@id\":\"https:\\\/\\\/www.ocho.pl\\\/en\\\/#organization\",\"name\":\"Grupa medyczna OCHO prof. 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