Treatment packages are mainly leveled based on the ranking of surgeons (according to the number of annual surgeries, years of experience, educational and experimental records, the rate of successful surgeries and the percentage of patients’ satisfaction) and the hospital/clinic where the surgery is performed.
As an example, level 1 surgeons are Iranian brand doctors who are famous inside and outside the country and are mainly observed by international patients on social networks. It should be noted that all the doctors and surgeons that cooperate with Nora Health Tour are board certified and work in prominent hospitals that are licensed to accept international patients and comply with the standards of Nora Health Tour medical team.
One of the surgeries used to treat retinal and vitreous disorders is called Vitrectomy. To see, light must pass through the eye and reach the retina, which is a bunch of light sensitive tissues behind the eye In fact, the retina sends images, objects, and the environment to the brain in the form of a neural message and sends information to the brain. The retina is located at the back of the eyeball and fills the vitreous in the middle of the eye. Various eye diseases can cause vitreous fluid to become cloudy, fill with blood or debris, harden, or cause scarring. This can block light from reaching the retina and impair vision.
Fluid removal and replacement may solve or improve this problem. The whole or part of the vitreous is drained to remove the opacity of the vitreous and replaced with BSS solution. Sometimes the retina moves away from the surrounding tissue. In that case; ophthalmologist may perform Vitrectomy to facilitate and repair the retina. Vitrectomy surgery removes blood and debris from an infection that may cause nerve messages to not focus on the retina, resulting in a lack of image. In most cases, vitrectomy surgery strengthens and improves vision or stabilizes and maintains the patient’s existing vision.
Some other problems that Vitrectomy allows to treat are:
Before surgery, ophthalmologist examines patient’s eyes using special tools and light. Doctor might want to do an ultrasound on patient’s eye to look more closely at retina.
The patient’s general health such as heartbeat and blood tests will be evaluated and then she/he will be advised on what pre-operative preparations are needed to make, such as altering medications.
Depending on the patient for whom the surgery is performed, Vitrectomy may take from one to several hours. Patient has the choice to stay awake and benefit from anesthetic drops or injections into eyes. Also patient may be under general anesthesia – a medicine that helps and fall asleep during surgery.
Depends on the severity of the complication, all or part of the vitreous is removed from the patient’s eye to reduce the pressure and tension on the retina. If there is blood, the surgeon washes them and replaces the removed vitreous with sterile salt or, if necessary, fluids such as silicone oil and expandable gas bubbles. The purpose of doing this is to keep the retina in its natural position. Also, if the patient also has retinal perforation, laser treatment is performed simultaneously to treat the perforation or to remove the lens opacity in case of cataract.
During the operation due to local anesthesia or general anesthesia, the patient does not feel pain, but it is obvious that after this difficult and complex surgery, the patient needs to use pain killer, which should be prescribed by an ophthalmologist.
After the surgery, the amount of postoperative vision depends on a number of factors, including the severity of the damage to the patient’s retina before surgery. It is very important that the patient understands what harms and dangers to his vision can lead to not performing this surgery on time. Stabilizing the patient’s vision, or in severe cases, having minimal vision is better than blindness.
Vitrectomy is often an irreversible procedure; but the age of the person being treated will have a huge impact on the reversibility of this cataract and the elderly will be at risk.
There is no need to stay at the hospital after vitrectomy surgery and patients are discharged from hospitals usually 1 hour after it. After surgery, some activities like swimming have a flight, and driving is forbidden for about 12 weeks. Patient will need 2 to 4 weeks to recover before being able to do normal activities again. It may take longer for patient’s vision to get back to normal.
According to various studies done on the issue, Iranian ophthalmologists’ level of expertise beside world class level of patient care system will assure every patient’s satisfaction. More than 40,000 Iranian and foreign patients are going under vitrectomy in Iran each month and it is on top of the middle east regarding its skilled specialists and surgeons.
Many patients travel to Iran because of Iranian specialists and ophthalmologists who have high surgery success rates. Other reasons are: low cost of vitrectomy in Iran compared to other countries, low cost of accommodation in Iran, well experienced doctors, high standard diagnostic and surgical centers and the high number of vitrectomy surgery, diagnostic and surgical centers accordant with today’s European standards are performing the highest quality operations in Iran.
No matter where you are in the world, we will improve your vision with the best eye surgeons in modern and high-tech hospitals.
In terms of costs, Iran can be considered among the most affordable countries in which you can have eye surgeries, especially; this is mainly because of the low value of the Iranian currency (IRR). A routine Vitrectomy surgery, which in fact is a quite commonplace procedure in Iran, would cost ranges from $3500 to $ 4900 while the cost of the same operation in most European and American countries would cost 8,000 USD. This cost mainly includes doctor visits, clinic, anesthesia, medications, post-op recovery, follow-up, etc. Depending on the doctor’s reputation and level of expertise, the complexity of the procedure, and clinic, the price may vary. Therefore, as one may perceive, having the treatment done in Iran would be the sensible choice for people the world over.
It should be noted that individual brochures based on the patient / client plan, including pre- and post-operative instructions, as well as the necessary information and processes for further follow-up are provided to you. During your stay in Iran, the translators of Nora Health Tour fully support you 24/7 and will happily help you to resolve any concerns or ambiguities that may arise for you.
2 to 4 weeks to recover before doing normal activities again will be needed. Of course,it may take longer for vision to get back to normal.
After vitrectomy surgery, it is necessary to keep head above heart and bending should be from the knees. Also, do not move or bend suddenly. It is forbidden to strain or lift more than 20 pounds.
The timing depends on the type of gas used: short-acting gas (SF6) takes 2 to 3 weeks to disappear; long-acting gas (C3F8) takes about 2 months. When the gas bubble is down to half size, you will see a horizontal line across your vision, bobbing up and down with head movement.
You can read, write and watch TV after surgery. You can bathe and shower as normal. You can wash your hair or go to the hairdressers but make sure that shampoo, hair dye or other products do not get into the eye.
A vitrectomy surgery may be from one to several hours, depending on what condition you’re treating. The patient will have the option to stay awake and use numbing drops or shots in eye.
Majority of patients undergo local anesthesia. On the other hand, local anesthesia makes patients relaxed and sleepy, and it can be safer and more comfortable than general anesthesia.
During the operation, anesthetic numbing medicine given around the eye makes patients pain free. After the procedure, some patients may experience a tolerable-level discomfort for a few days.
Most patients are back to their normal activity after a week. It may take two to 12 weeks for the vision to optimize.
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