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What anaesthesia is required for vitrectomy surgery

I perform most vitrectomy procedures under local anaesthesia, whereby a small amount of anaesthetic is administered around the eye to numb it and permit surgery to performed painlessly. Whilst you will need to be comfortable and lie still for the duration of the procedure, you can feel reassured that if you do need to move,

What do I do if I have any urgent concerns before or after the operation?

At all stages of your treatment pathway, you will receive my direct access telephone number. This will negate the need to go via any third party, such as a secretary or the hospital, in order to obtain any routine or urgent advice. I will be available 7 days a week for you in this regard.

When can I resume exercise?

It is safe to perform light exercise after surgery. I will individualise the advice relating to more vigorous exercise when I review you at your post-operative visits.  

When can I shower and wash my hair?

You can shower and wash your hair from the day after your procedure, however, it is advisable not to allow water to enter the eye for approximately 2 weeks following surgery. This can be avoided with simple measures including wearing swimming goggles during showering or washing your hair backwards in a sink similar to hairdressers.  

Can I fly after the operation?

You must not fly at any point if there is any residual gas in your eye. Once the gas has fully absorbed, then may fly.  It is safe to fly if you receive an oil bubble to reattach your retina. It is not advisable, however, to schedule any foreign travel for immediately after eye surgery,

When can I drive, and do I need to inform the DVLA about your surgery?

Generally, it is inadvisable to drive whilst there is gas in the eye due to the sudden loss of vision in one eye, and the often distracting nature of a partially absorbed moving gas bubble within the eye (see gas section above). It will be safe to drive once the gas bubble has completely absorbed, and if

How long does it take for the stitches to dissolve?

I generally employ modern sutureless microincision techniques for performing vitrectomy surgery, which does not usually require the use of stitches. |Sometimes stitches are required, however, and always so if a scleral buckle procedure is performed. These may take anywhere between 2-5 weeks to completely dissolve.

When do I come back for follow-up after surgery?

I will arrange to see you 1-2 days following the procedure, then again at 1-2 weeks and 2-3 months. If additional visits are advisable, for example, to check or control your eye pressure, then I will arrange as many visits as required in order to maximise the safety of your eye and to achieve the

Will I need to use eye drops after the operation?

Drops are prescribed to be used for several weeks following the procedure. Additional drops will be prescribed if the pressure in your eye is found to be excessively high at any point. If oil is used, I generally require you to use a few drops a day until the oil bubble is removed. 

Will I experience pain after the operation?

There may be some discomfort initially which generally becomes less on a day-by-day basis. Scleral buckling surgery tends to produce slightly more discomfort than vitrectomy surgery. Simple oral analgesia such as paracetamol for a few days is usually sufficient.  It is common to experience mild itching for 1-2 weeks following surgery.  

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