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Can Vitrectomy Be Done Along With Iridectomy?

Posted on Thu, 23 Feb 2017

Question: Dear Sir,
Please guide me How many Surgeries are possible at a one time OT, Phaco Foldable IOL Unilat. + Iridectomy+ Retrobulbar Injections+Lacrimal Sac Syringing both eyes+Trabeculectomy+Vitrectomy.

Thank you and Best Regards

Answered by Dr. Ramesh Kumar (2 hours later)

Brief Answer:
More than two surgeries should not be performed at a time

Detailed Answer:
Hi XXXXXXX

Any experienced and good Ophthalmologist will not do more than two surgeries on a single eye at one time. No one will also perform surgeries on both the eyes at the same time (unless it's an emergency).

Chances of complications are very high when multiple surgeries are done at one time. However it depends on surgeon and it's a suggestion not to operate both eyes at same time neither to go for more than 2 surgeries at one time.

Thanks!

Above answer was peer-reviewed by : Dr. Arnab Banerjee

Follow up: Dr. Ramesh Kumar (13 hours later)

Thank you for your valuable time sir.
I have a related query please guide me, Only On the basis of report attached how will we find out the power of IOL needed for the patient age 32 with no history of Trauma or diabetes? and also please guide me the post operative care and how long a patient need to stay in hospital.

Answered by Dr. Ramesh Kumar (13 hours later)

Brief Answer:
Follow up amswer

Detailed Answer:
patient would be discharged 24 hour after the operstion.
•Avoid hard rubbing or squeezing your eye for one month
• Protection: Please wear the eye shield until you get home. It should be
replaced before you go to bed or take a nap for first week so you do not rub your eye while asleep or roll over on your eye. Uses the eye patch or goggles at night for one week. Dark eyeglasses may be worn during the daytime, especially outdoors, to avoid any discomfort that you may have from bright light and also to prevent any injury to eye.
• Face wash: For the first few days, close your eyes when washing your face.
• Shaving: Shaving of the beard is permitted after the operation.
• Bathing: One may wash the hair with the head tilted backwards to avoid
any water splashing into the eye. Just close your eyes to wash your face
and when you are in the shower try to keep that eye closed.
• Games: Normal daily activities including walking, reading and watching
television may be resumed immediately the operation. However avoid strenuous activities like jogging, lifting weights, swimming, gardening, aerobics, contact sports etc. for two weeks.
•
• Diet: There are no dietary restrictions and you may take your routine diet.
However, the restrictions as per you pre-existing medical problems, if any,
are to continue.
• Driving: Use your best judgment.
• Job: You may get back to your job 2 days after surgery.
• Travel: You can travel one week after surgery.

to calculate the power regression and theoretical formulas are used.These can't be explained to you,A professional knowledge is required for calculating it.
Thanks

Above answer was peer-reviewed by : Dr. Raju A.T