[Technology benefits the people] Our hospital's ophthalmology department independently carried out the first highly difficult level 4 surgery - vitrectomy, and the patient regained clear vision

Recently, the Department of Ophthalmology of our hospital independently performed the first highly difficult vitrectomy surgery in the hospital.

[ Diabetic retinopathy causes massive vitreous hemorrhage, and the light is disappearing little by little ]

Mr. Zhuang (pseudonym) is 62 years old this year. He has a 20-year history of "type II diabetes" and his blood sugar has not been well controlled. Before the Spring Festival, Mr. Zhuang suddenly felt that everything was dark in front of his eyes. Accompanied by his family, he came to our ophthalmology department for treatment. When he came to the hospital, he could only see a faint light on the eye chart. After further examination, the old man was diagnosed with diabetic retinopathy causing massive vitreous hemorrhage ! It must be treated immediately, otherwise there is a risk of blindness.

Taking into account the patient's underlying diseases and prognosis, after multidisciplinary consultation and careful discussion, the doctor decided to perform vitrectomy combined with panretinal photocoagulation on Uncle Zhuang. After the operation, Uncle Zhuang's vision recovered to 1.0 and he was very satisfied with the results of the operation. What Uncle Zhuang and his family did not expect was that this operation was a day surgery , and he was transferred to the day ward after the operation and discharged on the same day .

What is vitrectomy? Let’s talk about the vitreous first .

The vitreous body is a semi-solid gelatinous substance in the eye that fills the vitreous cavity. Under normal circumstances, it has good light transmittance, allowing the retina and choroid to stick together. If a lesion occurs, the mild case will feel like there are mosquitoes flying in front of the eyes when looking at things, and the severe case may completely block the light and cause blindness. It may also cause lesions in the surrounding tissues, such as retinal detachment, and destroy the entire eyeball.

The basic function of vitrectomy is to remove the cloudy vitreous or remove vitreoretinal traction, restore the transparent refractive medium and promote retinal reattachment, treat vitreoretinal diseases, and restore the patient's visual function.

It sounds a bit complicated, yes! This type of surgery is classified as a level 4 surgery in the surgical classification management in the field of ophthalmology. It is one of the highest-level and most difficult ophthalmic surgeries , and the technical requirements of the doctor are extremely strict. The surgeon needs to operate on a soft and transparent retina that is only as thick as a piece of white paper. It is really challenging!

It has many advantages: it is performed under local anesthesia, with less trauma, safer surgery, shorter operation time and postoperative recovery time, less postoperative inflammation, and higher patient comfort...

Our doctors are constantly learning, researching and improving their skills, allowing residents in Beichen and surrounding areas to enjoy homogeneous diagnosis and treatment services nearby, greatly satisfying their medical needs.

What diseases can be treated with vitrectomy ?

Vitrectomy is also widely used:

Vitreous hemorrhage that is difficult to absorb due to various reasons

Complex retinal detachment such as posterior pole tear or large tear

Diabetic fibroplasia or tractional retinal detachment

Various types of macular holes, epiretinal membranes, vitreomacular traction syndrome, macular edema

Repair of eyeball rupture

Foreign bodies in the eye

Dislocated lens or total dislocation of the intraocular lens from the vitreous

Endophthalmitis that is ineffective or unsatisfactory in terms of drug treatment

Vitreous parasites

Diagnostic vitrectomy