Immediately after the operation is completed, the surgeon will meet with you and your family in the recovery area. At the conclusion of the operation, the surgeon will place a patch and a shield on the eye, to be left in place until the following morning. More lengthy operations - usually for complex retinal detachments - can last about two hours, but such long procedures are unusual. Most retina surgery takes less than an hour, and some procedures take less than 30 minutes. Retina procedures performed in the operating room include vitrectomy and scleral buckling, which are described in detail elsewhere. We occasionally use general anesthesia, which involves putting the patient completely asleep with a breathing tube down the windpipe. More medicine can be administered around the eye and/or by vein to make you more comfortable and/or more sedated. If you feel any discomfort at all, or if you prefer to be sleepier, just tell the surgeon. You will be kept in a “twilight” state - conscious, but very relaxed. While you are dozing briefly, numbing medicine is injected below the eye to keep the eye comfortable throughout the procedure. This means that sedatives are given by vein to temporarily put you to sleep. Most retina surgery is performed under local anesthesia with sedation. The surgeon will greet you, make sure all of your questions are answered and confirm the correct eye by marking on the eyelid with a special pen. Having an empty stomach helps to reduce the chance of breathing in stomach contents while you are under anesthesia.Īfter you are checked in at the surgery center, you will be given a gown to wear during surgery, an IV catheter will be inserted in a vein in your arm for delivering intravenous medications during surgery, and three sets of dilating drops will be placed in the appropriate eye to enlarge the pupil so the surgeon can easily see into the eye. It is important not to eat or drink anything after midnight, the night before the day of surgery. The surgery center will usually contact you the day before surgery with instructions, including when you should arrive (typically about 90 minutes before the operation is to begin). In those cases, we will make the appropriate arrangements for you. Some conditions, such as severe infections, eye injuries and certain retinal detachments, require urgent surgery - typically on the same day that the diagnosis is made or on the following day. Before SurgeryĪfter the doctor discusses with you the risks, benefits and alternatives to the recommended operation, we will schedule the procedure for the date and time most convenient for you. It is a lot to remember, though, so this page will help to remind you of what to expect. Most, if not all, of this information will be discussed by your doctor in the office. Below, you will learn what to expect before, during and after retina surgery.
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