The anesthesiologist is responsible for monitoring vital functions, ECG, blood pressure, respiration and oxygenation as well as controlling anesthesia.
A brace is placed on the eye itself to hold the eyelids. This holder may be a little uncomfortable, but it keeps the eye open. During the operation the patient is conscious and communicative with the surgeon.
The surgeon makes incisions through 4 small holes in the sclera (less than 1 mm) to remove the vitreous in the eye, after which it is replaced with a special gas (which is resorbed over time) or silicone oil. If the patient has ruptures (holes) in the retina, they are repaired by laser photocoagulation.
At the end of the operation, a tamponade is made with gas or silicone oil, which depends on the condition of the retina.
After the operation, the patient is taken to an apartment. About half an hour after the operation, the patient is checked out of the hospital (one-day surgery) with a bandage on the operated eye.
After surgery, the patient also receives written instructions on limitations and postoperative care.