Preoperative Care

Preoperative measures to reduce the risk of postoperative infection include

  • Topical as well as systemic antibiotics
  • Washing of the face, the skin of the lids and trimming of the eyelashes.
  • Removing all the facial make up and keeping the forehead free of any stickers or powders
  • Before the day of admission, it is advisable to shampoo their head and take off all the facial makeup and jewellary.
  • The patient also should call the attention of the attending doctor if he or she is suffering from upper respiratory infection or any boil or redness near the eye indicating a possibility of infection.

Post Operative Care

Your operated eye will be patched for twenty-four hours. You will wear a protective shield for naps and bedtime for two weeks to protect the eye.

Immediate post-operative period: Patients who have undergone vitrectomy surgery are prone to develop an increase in intra-ocular pressure and pain in the operated eye during the immediate postoperative period. Though the drugs would take care of this problem, some patients react with excessive postoperative nausea and vomiting. These patients require additional medication along with intravenous fluids to replenish the loss of fluids and electrolytes in the vomitus.

Eye drops – It is mandatory on the part of the patient to know the uses and indications of the eye drops that are prescribed after the surgery.

Antibiotic eye drops: This is prescribed usually to prevent any infection and promote the healing.

Steroid eye drops: Are used to control the normal inflammation and swelling that occurs after surgery.

Antibiotic and steroid eye drops are usually applied six times a day for the first one week and and then are usually tapered over a period of six weeks.

If the eye becomes red and painful after using any eye drops, it is mandatory to call the attention of the surgeon immediately and exclude the possibility of allergic reaction or infection. The postoperative care is quite standard for all eye surgeries. However, for vitrectomy surgery with long acting gases used, the post-operative instructions are special. The patient must strictly maintain a special head posture to keep the gas bubble at the desired position.

No dietary restrictions are necessary.

Follow-up intervals: Vitrectomy patients go home on the same day or next day after the first postoperative review. The subsequent examination should be 1 to 2 weeks in most instances. A 3- week follow-up examination discovers the highest incidence of treatable postoperative complications or sequelae. In all patients, it is important to emphasize the importance of frequent follow-up.

You will receive a patient information sheet to inform you how to take care of your eye. Please read the patient post-operative information sheet and feel free to ask YOUR DOCTOR if there are any questions.