PATERN LAZER-ENDOSCOPIC 25 PLUS PARS PLANA VITRECTOMY SURGERY

A jelly-like substance called vitreous fills the inside of the eyeball. This substance gives the eye a spherical shape and gives it elasticity.The vitreous gel shows tight adhesions to the retinal layer in some areas.As a result of advanced age, high myopia, some blows to the eye or head trauma, the vitreous gel begins to liquefy and separate from the retina.During this separation, tears or hemorrhages may occur where the vitreous attaches to the retina.As a result of genetic predisposition, thinned degenerated areas sensitive to tearing may be found in the retina (lattice, tuft).Retinal tears can also occur as a result of some traumas, cataract surgery or other eye surgeries.The passage of liquefied vitreous through these tears in the retina causes the retinal layers to separate from each other.Degeneration of the vitreous with retraction and/or fluctuations in the retina, which is a nervous tissue; causes symptoms such as flashes of light, flying flies or spider webs.A veiling of the eye is mentioned by the separation of the retina from the eye wall, under which the fluid accumulates. As this separation affects the macula, vision decreases to the sense of light.If the retinal detachment is not treated almost immediately, the fluid will progress through the retinal layers, causing the entire retina to be detached and permanent vision loss.retinal detachment: It can give symptoms such as flying flies, flashes of light, loss of vision, or direct and rapid closure of vision without any.Flying flies, flashes of light, a feeling of soot can sometimes occur only in the presence of retinal tears without detachment. At this stage, the development of detachment can be prevented by gluing the periphery of the tear with a laser dam without any liquid entering between the tears.If retinal detachment has occurred due to separation of the retina from the eye wall; Depending on the condition of the eye and the decision of the ophthalmologist, either classical retinal detachment surgery or vitreoretinal surgery (pars plana vitrectomy) surgery is decided. These surgeries are usually performed with general anesthesia. During the surgery, it is decided by the doctor to perform intraocular tamponade with medical silicone or special medical gases. In the postoperative period, it may be necessary to maintain a certain position to be determined by the doctor for 7-10 days and lie down in this way.  Repair of retinal detachment and tear with pars plarna vitrectomy surgery Until the rupture is fully made, sterile gas or air is injected into the eye and pressure is applied to the rupture. After the operation, the patient is placed in a head and lying position so that the buffer gas can come over the tear.In some cases, it may be necessary to apply buckling to the white of the eye (sclera) with special materials in order to fully close the tear.Retinal detachment is most commonly seen as a tear retinal detachment. Tractional retinal detachment may also develop as a result of fibrotic bands pulling the retina from inside, after diabetic retinopathy, retinal vascular diseases or some trauma-intraocular foreign bodies.Exudative retinal detachments may develop in malignant and some benign intraocular tumors, intraocular inflammations called uveitis, eclampsia during pregnancy, renal failure and high systemic hypertension.Anatomical success rate is very high after retinal detachment surgeries. The earlier the intervention, the higher the chance of success.If the retina is damaged, growth factor injections outside the eyeball or magnovision support can be applied after the surgery.