Is a gas bubble required after removal of silicon gel after?

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Posted on Sat, 23 Sep 2017 in Vision and Eye Disorders
Question: my wife has undergone retinal detachment surgery 4 months back,it is done using Vitrectomy method using silicon gel, and now when it is time to remove the gel, doctor is suggesting to put the gas bubble after removing the silicon gel. I need a suggestion whether to go for this? why is it required?
doctor
Answered by Dr. Ramesh Kumar 2 hours later
Brief Answer:
to prevent eye from collapsing,

Detailed Answer:
My dear patient thank you so much for asking question on this forum.See the concept is very easy our eye is seperated from outside atmosphere by eye ball wall.If pressure outside eye(atmosphere) is more then pressure inside eye then eye would collapse.Therefore after removal of silicon gel gas bubble would be introduced in eye cavity( to balance cavity pressure with outside pressure),otherwise the eye would collapse permanently.
So you should follow the procedure suggested by your opthalmologist dear.

In case you need any other answer feel free to post a follow up .

Thanks and good luck
Above answer was peer-reviewed by : Dr. Nagamani Ng
doctor
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Follow up: Dr. Ramesh Kumar 11 minutes later
Thank you very much doctor for your precious suggestion, i have one more query for you,due to silicon gel she is also affected by cataract which is in early stages. my doubt is if we introduce this gas bubble will it not get worse?
doctor
Answered by Dr. Ramesh Kumar 6 minutes later
Brief Answer:
Follow up.

Detailed Answer:
Hey,
Vitrectomy increases oxygen levels in the eye, which is thought to cause damage to the proteins in the lens by processs of oxidation and causes cataract.
its very common side effect of vitrectomy and will be treated by implanting artificial lens.
Whether its silicon or air oxidative stress would be same.

In case you need any other answer feel free to post a follow up


Above answer was peer-reviewed by : Dr. Nagamani Ng
doctor
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Follow up: Dr. Ramesh Kumar 14 minutes later
sure doctor, so one last question, so when she can go for the cataract surgery after this vitrectomy treatment ? and if any case operation fails what are our next steps? and can i know how easy is the eye replacement procedure and cost?
doctor
Answered by Dr. Ramesh Kumar 5 minutes later
Brief Answer:
Follow up answer.

Detailed Answer:
Hi
I am sorry but eye can't be replaced or transplanted.Only a part of eye called cornea can be replaced thats it.
cataract surgery can be performed 8-12weeks after bubble introduction in eye.

Don't worry i don't think things would go wrong now.

thank you and good luck to her.
Above answer was peer-reviewed by : Dr. Nagamani Ng
doctor
Answered by
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Dr. Ramesh Kumar

Ophthalmologist

Practicing since :1991

Answered : 238 Questions

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