How to Prepare for Your Eye Surgery

Pre-operative directions for Dr. Randall Wong's retina patients.

There is only one requirement I have before your retinal eye surgery, "Do NOT eat before Surgery!" Eating anything after midnight the night before surgery is certain to cancel your surgery.  By the way, the following rules apply to my personal patients who are having surgery at INOVA Woodburn Surgical center.  These guidelines may be similar to your own doctor's, in … [Read more...]

Your First “Post-Operative” Eye Exam After Retinal Surgery

Eye Examination after your retinal surgery, Randall V. Wong, M.D., Retinal Specialist, Fairfax, Virginia

I routinely examine patients the first day after retinal surgery. It's the shortest visit you'll ever have at my office.  Surprisingly, there are very, very few things for me to check the first day after surgery. Whether you have had retinal surgery for removal of an ERM (macular pucker), repair of a macular hole, a vitrectomy for vitreous hemorrhage, floater only … [Read more...]

Vitrectomy Eye Surgery for Macular Pucker

This is my first patient education video.  I uploaded this last evening to YouTube.  It is one of the best I've seen for a super niche like eye surgery. Vitrectomy Surgery As I state in the video, vitrectomy surgery is performed by retina specialists.  I completed extra training to specialize and to perform retinal surgery. A vitrectomy is the core operation for many … [Read more...]

Anesthesia For Eye Surgery

Retina surgery is painless, you remain awake and is performed on an outpatient basis.  Advances in technology have decreased the length of surgery making outpatient eye surgery possible. There are two basic methods of anesthesia; awake (aka local) and asleep (aka general). Local Anesthesia with Sedation Most of my operations, either vitrectomy or scleral buckle, are … [Read more...]

Eye Patches After Surgery

Patching the eye after surgery is a matter of routine.  The eye patch is usually worn only overnight and then removed for the rest of the post-operative period.  It can offer protection, reduce discomfort, but really has no "healing" attributes. The Lid Should be Closed Against the Eye A properly placed eye patch, for any reason, should be a "pressure patch," meaning … [Read more...]

Eye Drops to Help You Heal

After eye surgery, there are several eye drops to help you recuperate, and heal, quickly.  These eye drops usually include an antibiotic, anti-inflammatory, and sometimes, an eye drop to keep  you dilated for comfort. There are many types of eye surgery; cataract, glaucoma, corneal, retina, etc.  In general, the post-operative medications/drops that we use are about the … [Read more...]

Retina Surgery is “Same Day” Surgery

Retinal eye surgery, either vitrectomy or scleral buckle, is usually performed while the patient is awake and as an outpatient, allowing you to go home the "same day."  Usually, there is absolutely no pain with retina surgery and recovery takes place in the comfort of your own home. In most cases, operations are performed under "local sedation."  This term varies, … [Read more...]

Gas Injection for Retinal Detachments

Injecting gas into the eye, called pneumatic retinopexy, is the fourth way to fix retinal detachments.  Other methods include Scleral Buckle Vitrectomy Eye Surgery Combination of Scleral Buckle and Vitrectomy Gas Injection This procedure is performed in the office.  Similar to other intraocular injections, except gas is introduced into the eye instead of … [Read more...]

Vitrectomy Surgery for Retinal Detachments

Vitrectomy eye surgery for repair of a retinal detachment can be an alternative or adjunct to scleral buckle.  Vitrectomy surgery involves the removal of the vitreous from the eye.  This procedure was introduced (i.e. invented) in the mid-1970's and enhanced our ability to treat retinal detachments. Retinal Tears Cause Retinal Detachments Remember that the culprit in … [Read more...]

Scleral Buckle Surgery for Retinal Detachment

A scleral buckle is one of several ways to "fix" a retinal detachment. Other ways include vitrectomy eye surgery as well as a combination of scleral buckle and vitrectomy.  An office procedure, called pneumatic retinopexy, is sometimes used as well. Scleral Buckles are "Oldies But Goodies" The scleral buckle has been employed for about 75 years.  The principle behind a … [Read more...]

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