Macular Pucker Surgery: Gas Injection and Face-Down Positioning

Q: Macular Pucker Surgery: Gas Injection and Face-Down Positioning

Hello： If there is no retinal detachment, this method may not be necessary. <br>However, a clinical examination is still required to make a decision. <br>The Ophthalmology Department at Puzi Hospital in Taiwan is open Monday to Friday from 8：00 AM to 12：00 PM and Wednesday aftern

Macular traction

Generally speaking, during surgery for macular traction syndrome (if no tears are present), is it necessary to inject gas and maintain a prone position? Thank you!

Huang Xiaoming, 40~49 year old female. Ask Date: 2016/08/29

Dr. Gao Pilin reply Ophthalmology

Hello: If there is no retinal detachment, this method may not be necessary.
However, a clinical examination is still required to make a decision.
The Ophthalmology Department at Puzi Hospital in Taiwan is open Monday to Friday from 8:00 AM to 12:00 PM and Wednesday afternoons from 1:00 PM to 4:30 PM.
Online responses can only serve as a reference; it is essential to seek medical care at a healthcare facility if needed.
I hope to have the opportunity to assist you.
Gao Pilin

Reply Date: 2016/08/29

More Info

Macular pucker surgery, also known as vitrectomy for epiretinal membrane, is a procedure aimed at addressing the distortion of vision caused by a membrane that forms on the surface of the retina, particularly in the macula area. This condition can lead to visual impairment, and surgery is often recommended when the symptoms significantly affect the patient's quality of life.

In general, during macular pucker surgery, gas injection is a common practice. The purpose of injecting gas into the eye is to help flatten the macula and assist in the healing process after the membrane has been removed. The gas bubble acts as a tamponade, applying pressure to the retina and keeping it in place as it heals. This is particularly important because the retina needs to reattach properly after the surgery, and the gas bubble provides the necessary support during the critical healing phase.

Regarding the positioning of the patient post-surgery, face-down positioning is typically required for a period of time after the procedure. This is because the gas bubble will rise to the top of the eye, and maintaining a face-down position helps ensure that the bubble remains in contact with the macula, thereby maximizing the effectiveness of the gas in supporting the retina. The duration for which a patient must maintain this position can vary, but it is often recommended for several days to a week, depending on the specific circumstances of the surgery and the surgeon's protocol.

It is important to note that while gas injection and face-down positioning are standard practices, the specific approach may vary based on individual patient factors and the surgeon's discretion. For instance, if there are complications such as retinal tears or other issues, the surgical approach and postoperative care may differ.

Patients should also be aware of potential risks associated with macular pucker surgery. These can include complications such as retinal detachment, cataract formation, and persistent visual disturbances. Therefore, it is crucial to have a thorough discussion with the ophthalmologist regarding the benefits and risks of the procedure, as well as the expected recovery process.

In summary, during macular pucker surgery, gas injection is commonly performed to aid in the healing of the retina, and face-down positioning is generally required to ensure the gas bubble effectively supports the macula. Patients should follow their surgeon's postoperative instructions carefully to optimize their recovery and visual outcomes. If there are any concerns or questions about the procedure, it is advisable to consult with the ophthalmologist for personalized guidance and support.

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1. Essentially, C3F8 will be completely absorbed; you can wait a little longer. 2. I cannot answer regarding the injection's components as I am unaware of them. 3. You may discuss with your doctor whether they can assist you in applying for it.