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A vitrectomy is the surgical removal of the vitreous gel in the center of the eye. The procedure is used to treat severe bleeding into the vitreous, and is performed under local or general anesthesia. Ports (temporary water-tight openings) are placed in the eye to allow the surgeon to insert and remove instruments, such as a tiny light or a small vacuum called a vitrector. A clear salt solution is gently pumped into the eye through one of the ports to maintain eye pressure during surgery and to replace the removed vitreous. The same instruments used during vitrectomy also may be used to remove scar tissue or to repair a detached retina.

Vitrectomy may be performed as an outpatient procedure or as an inpatient procedure, usually requiring a single overnight stay in the hospital. After treatment, the eye may be covered with a patch for days to weeks and may be red and sore. Drops may be applied to the eye to reduce inflammation and the risk of infection. If both eyes require vitrectomy, the second eye usually will be treated after the first eye has recovered.

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and rehabilitation services and suggest devices that may help make the most of remaining vision. Many community organizations and agencies offer information about low vision counseling, training, and other special services for people with visual impairment. A nearby school of medicine or optometry also may provide low vision and rehabilitation services.

The NEI is conducting and supporting research that seeks better ways to detect, treat, and prevent vision loss in people with diabetes. This research is being conducted in labs and clinical centers across the country.

For example, the Diabetic Retinopathy Clinical Research Network (DRCR.net) conducts large multi-center trials to test new therapies for diabetic eye disease, and to compare different therapies. The network formed in 2002 and comprises more than 350 physicians practicing at more than 140 clinical sites across the country. Many of the sites are private practice eye clinics, enabling the network to quickly bring innovative treatments from research into community practice.

NEI-funded scientists are also seeking ways to detect diabetic retinopathy at earlier stages. For example, researchers are harnessing a technology called adaptive optics (AO) to improve imaging techniques such as OCT. AO was developed by astronomers seeking to improve the resolution of their telescopes by filtering out distortions in the atmosphere. In the clinic, diagnostic devices that use AO may improve the detection of subtle changes in retinal tissue and bloodvessels.

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There was a time when it was commonly thought that the best way to help an individual with a drug problem was to wait until he hits “rock bottom.” When that person’s life was adversely affected enough by addiction and destructive behaviors, he would enter rehab or seek help.

However, over the past few years, this thought process has evolved. The medical community has concluded that addiction is a disease and not a series of bad life choices. As a result, more attention has been given toward helping those afflicted with addiction, rather than punishing them.

An intervention is the process by which the family, friends, counselors or professional intervention specialists can show a person struggling with drug addiction the negative impact of the disease in his life and on those who care for him.

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While family members perform interventions, anyone with a sincere and loving relationship with the individual can participate.

This might include:

It is also a good idea to use the services of a person trained in the process of drug and alcohol intervention. That person can provide the family and friends with the information they need to conduct a thorough and safe intervention.

The purpose of an intervention is to help the person struggling with addiction to enter a rehabilitation program, usually in an inpatient facility.

Including friends, family and concerned relations in the intervention is not to “gang up” on the person needing help, but to show him how widespread his addiction truly is. When the individual sees how his drug problem affects others’ lives, he may be motivated to seek treatment. An intervention may serve as a final warning, of sorts, that these people will no longer support the destructive addiction in his life.

The first step to setting up an intervention for a loved one is to determine what help the individual may have already sought for himself. Does he have a counselor he speaks with regularly?

According to the American Psychological Association, a counselor or psychologist is prohibited from discussing confidential interactions with their clients or patients; however, they can help you to determine whether it is time for an intervention to take place and the probable success of the intervention. 1 They may choose to be a part of the intervention process.

The intervention takes place in a safe environment with the participation of every family member, friend or professional who has a stake in the outcome.

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