A vitrectomy is a surgery in which the vitreous fluid inside the eye is removed to be better able to repair retinal damage. After the damage is repaired, the fluid is replaced with a saline, silicone, or gas bubble to keep the retina flat while it heals. Depending on the type of bubble used, a follow-up surgery may be necessary in order to remove it. Other types of bubbles are automatically absorbed as the body produces its own aqueous fluid to refill the eye. A vitrectomy is performed as an outpatient procedure, but it requires extreme skill and precision.
At Koch Eye Associates, we are proud to have a highly trained, extensively experienced team of eye health professionals qualified to perform this procedure. To determine whether you are a candidate for a vitrectomy, please schedule a comprehensive exam at our Wakefield, Woonsocket, North Kingstown, Warwick, Providence, or Johnston, RI office.
"I first went to Koch Eye many years ago after being referred there for a follow up appointment after being treated at the emergency room for an eye injury, That was the only time I actually saw Dr. Koch himself (who was very nice by the way) It is only in the last few years (since my old lady eyes have begun to need reading glasses) that I have come in regularly for my eye exam and glasses prescription. I never have any problem with wait time because there are several optometrists. Really the only thing I am not crazy about is their hours. I wish it was possible to get an evening appointment or that there was an occasional Saturday. The office staff is pleasant and courteous"- I.C. / Yelp / May 09, 2019
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"I had been going to Vision World/ Works for the last 20 years for eye exams, glasses, contacts. When I was last seen a few years ago I was told my eyes had weakened and I needed -6.0 in my left eye and -5.0 in my right, a substantial increase from -4.75 left and -3.75 right two years before. Needless to say I experienced hyperopia and needed readers for the first time. I wasn't able to read labels, see my phone, or use a laptop without readers of at least +2.5. I was recentl...y seen by Dr Besen at Koch Eye who prescribed contacts of -5.25 left and -4.25 right. I'm absolutely certain that Vision World had me in lenses that were too strong because now I can see my laptop without readers, and I can see my phone if I hold it at arms length. Not only can I see better (for distance as well as close up), but the entire experience of walking into Koch, being greeted by reception, having a preliminary exam by the optician assistants, receiving a full eye exam by the optometrist, being properly fitted for glasses by the optician, and checking out with reception, is exponentially superior with Koch. Clearly the entire staff enjoy their careers, and are friendly, professional, and completely competent. Thank you, Koch Eye Associates! I will recommend you to everyone I know. Sincerely, Kate Carroll"- K.C. / Facebook / Nov 13, 2019
"Had LASIK on 8/14/2020, great experience, I was well informed of what to expect. No surprises. Dr. Gerber was very professional and has good bed side manners. For my follow up the next day I saw Dr. Bae and she was very nice, friendly and sweet. The entire staff at all the locations I have visited for eye exams, purchase glasses and/or contacts have been very nice. Very nice and clean locations, everyone wears a mask and practice social distancing as much as possible. I am glad I had this team for my surgery and my family eye care needs."- S.R. / Yelp / Aug 25, 2020
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Vitrectomies are usually left as a final option to repair retinal damage when less invasive treatments have not provided the desired outcome. Some of the conditions that may benefit from a vitrectomy include:
- Severe eye injury
- Retinal tears or detachments
- Diabetic retinopathy
- Vitreous hemorrhage
- Intravitreal infection
- A wrinkle or hole in the central retina (macula)
- Cataract surgery complications
Koch Eye Associates performs vitrectomy treatments at the St. James Surgery Center in Warwick, RI. Depending on your overall health and the stage of your retinal condition, your vitrectomy may be conducted under local or general anesthesia. You will also be given anesthetic eye drops to numb your eyes prior to the procedure. Depending on your anesthesia, your ophthalmologist may monitor your vitals with an EKG and oxygen and blood pressure sensors.
After your anesthesia has taken full effect, your eye will be cleaned with an antiseptic, and a device will be put into place that will keep you from blinking or moving your eye. Your surgeon will then utilize extremely fine, precise instruments to perform the vitrectomy. First, your vitreous fluid will be removed, and then the retinal damage will be repaired. When the damage is fully addressed, your surgeon will place the silicone, saline, or gas bubble into the eye to hold the retina in place to heal.
Following your procedure, you may be required to remain face-down for several hours, or you may need to stay upright, depending on the type of bubble used. This has to do with the pressure your positioning will place on the bubble (your retina). Different types of chairs and pillows are available to help you maintain the required position. You will receive very detailed aftercare instructions, and we will ensure that you are comfortable with the instructions before you are released to recover at home. It is always very important to attend all of your scheduled follow-up visits after an eye surgery so we can closely monitor your recovery.
Compassion, plus expertise
We understand that the idea of retinal surgery can be intimidating, but you do not have to let a retinal injury impede in your daily life. There are multiple options for treatment, and the team of ophthalmologists at Koch Eye Associates are remarkably skilled and experienced in all the options. There is no need to worry. Contact one of our convenient Rhode Island offices today to come in and experience how our team can provide you with unique, compassionate care.