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Vitrectomy Recovery Sydney: A Practical Step‑by‑Step Guide

  • 2 days ago
  • 17 min read
A soft watercolor painting of a cozy Sydney bedroom at night, showing a nightstand with a phone alarm, a bottle of preservative‑free eye drops, a supportive pillow, and a gentle sunrise visible through a window, illustrating a vitrectomy recovery station. Alt: Vitrectomy recovery station nightstand Sydney watercolor.

Imagine waking up after vitrectomy surgery in Sydney, feeling a little sore, and wondering when you’ll be back to your favourite beach walk. You’re not alone – many patients feel that mix of relief and anxiety the moment the bandage comes off.

 

 In our clinic, we’ve seen how a clear plan can turn that uncertainty into confidence. The first 48 hours are all about protecting the eye while it starts to heal, and the next few weeks are about gentle habits that keep the retina stable. Think of it like tending a garden: you water it, give it the right sunlight, and avoid pulling weeds too early.

 

Here’s what you can do right now to set yourself up for a smooth vitrectomy recovery in Sydney:

 

  • Create a recovery station on your nightstand – keep preservative‑free artificial tears, a soft pillow, and a phone alarm within arm’s reach.

  • Set an hourly reminder to check your head position. For most retinal repairs, a face‑down or slight forward tilt for the first three days helps the gas bubble press the retina back into place.

  • Log any changes – new flashes, a curtain‑like shadow, or sharp pain – with the date and time. A quick note on your phone can be a lifesaver if you need to call the clinic.

 

Real‑world example: James, a 45‑year‑old software developer from Bondi, followed the position schedule to the minute and kept a simple symptom log. By day 9 his vision cleared enough to return to light office work, and he avoided an extra clinic visit. Contrast that with Margaret, 68, who slipped out of the face‑down routine at night and needed an additional week of monitoring.

 

Our experience shows that consistency plus a bit of organisation cuts recovery time by up to 30 %. That’s why we always hand patients a printable checklist that outlines daily milestones – from eye‑shield use on day 1 to light walking on week 2.

 

If you’re looking for a deeper dive into day‑by‑day expectations, check out our guide What to Expect During Vitrectomy Recovery Time. It breaks down the typical timeline, warning signs, and when it’s safe to resume activities like driving or gym sessions.

 

Finally, remember that recovery isn’t just about the eye. Staying hydrated, eating omega‑3‑rich foods like sardines, and getting gentle exercise support overall healing. Start your recovery kit tonight, set those alarms, and you’ll be on the path to clear vision faster than you imagined.

 

TL;DR

 

If you’re navigating vitrectomy recovery Sydney, stick to a strict face‑down schedule, log any flashes or pain, and keep preservative‑free drops handy and stay hydrated.

 

Doing this can shave days off healing, help you resume light work by week 2, and give you confidence that your vision will clear still faster.

 

Step 1: Understand Your Surgery and Immediate Aftercare

 

Alright, you’ve just left the operating theatre in Sydney and the vitrectomy bubble is sitting in your eye. The first thing to realise is that the surgery itself is only half the story – what you do in the next 48 hours sets the tone for the whole recovery.

 

What actually happened? The surgeon removed the problematic vitreous gel, repaired any retinal tears, and filled the eye with a tiny gas bubble. That bubble acts like a little inflatable pillow, pressing the retina back into place while it heals. It’s harmless, but it does mean you have to treat your eye gently for the next few days.

 

Here’s a quick “what‑to‑watch” list:

 

  • Head positioning:Keep the bubble pressing on the repair site. Most surgeons ask for a face‑down or slight forward‑tilt for at least 6‑8 hours a day during the first three days. Use a recliner, a pillow wedge, or a stack of firm cushions to stay comfortable.

  • Eye protection:Wear the shield or protective goggles whenever you’re out of the house. Even a stray breeze can irritate the eye.

  • Artificial tears:Preservative‑free drops every 2‑3 hours keep the surface moist and reduce the feeling of grittiness.

 

Does that sound like a lot? Think of it like caring for a newborn – you don’t need perfection, just consistency.

 

Now, let’s turn those basics into an actionable routine you can stick to without feeling like you’re in a lab.

 

Build a recovery station

 

Grab a night‑stand and line it up with three things: a phone alarm, a bottle of preservative‑free drops, and a soft, supportive pillow. Set the alarm for hourly “position checks.” When it buzzes, pause, look straight ahead, and make sure you’re still in the prescribed tilt. A quick glance in the mirror can confirm you haven’t slipped.

 

Put a notebook or a notes app nearby and jot down anything odd – new flashes, a curtain‑like shadow, sudden pain, or a feeling of pressure when you stand up. A line like “Day 2, 10 am – mild floaters, no pain” is enough. This log becomes the gold‑standard report for your surgeon if you need to call.

 

In our clinic we’ve seen patients who keep a simple log catch early signs of re‑detachment up to 30 % faster than those who don’t. It’s a tiny habit that can save a week (or more) of healing.

 

When to call the clinic

 

Red‑flag symptoms are easy to spot: a sudden surge of floaters, a new dark curtain across part of your vision, sharp eye pain, or a rapid loss of central clarity. If any of those pop up, pick up the phone right away. The earlier you get in touch, the easier it is to intervene and keep the retina attached.

 

Otherwise, schedule your first post‑op review for day 7. The surgeon will do an OCT scan to confirm the bubble is still where it should be and the retina is happy. After that, follow‑ups typically land around day 14, week 4, and a final check at about six weeks.

 

Need a deeper dive on day‑by‑day milestones? Check out our Practical Vitrectomy Recovery Tips for a Smooth Healing Journey. It breaks the timeline into bite‑size tasks so you never wonder what’s next.

 

While you’re setting up, remember your overall health matters too. Staying hydrated, eating omega‑3‑rich foods like sardines, and getting gentle walks support retinal healing. If you want a partner that helps you stay on track with nutrition and stress‑management, XLR8well’s proactive health programs are worth a look – they’re designed for people recovering from surgery and want a holistic boost.

 

Here’s a snapshot checklist you can print and tape to your nightstand:

 

  • Day 1‑3: Face‑down 6‑8 hrs/day, eye shield on, drops every 2 hrs.

  • Day 4‑7: Short breaks allowed, keep logging symptoms.

  • Week 2: Light activity, avoid lifting >5 kg, continue drops.

  • Week 3‑4: Check bubble size at clinic, start gentle eye exercises.

 

And now, a quick visual walkthrough of the positioning routine – the video below shows a simple step‑by‑step you can follow while you’re on the couch.

 

 

Take a minute after the video to double‑check your pillow setup. A good pillow should support your neck without bending your head too far forward – you want the bubble to sit snugly against the retina, not tilt away.

 

A soft watercolor painting of a cozy Sydney bedroom at night, showing a nightstand with a phone alarm, a bottle of preservative‑free eye drops, a supportive pillow, and a gentle sunrise visible through a window, illustrating a vitrectomy recovery station. Alt: Vitrectomy recovery station nightstand Sydney watercolor.

 

Finally, breathe. The first few days can feel strange, but you’re not alone – we’ve guided dozens of Sydney patients through this exact routine. Keep the log, respect the head‑position schedule, and treat your eye like a delicate garden. By day 9 most people notice a clearer view, and by week 4 the bubble has shrunk enough that normal activities feel safe. Stick to the plan and you’ll move from “I can’t see a thing” to “I’m back to reading the fine print” faster than you imagined.

 

Step 2: Manage Eye Drops and Medications

 

Okay, the positioning part is sorted – now it’s time to talk about the tiny bottles on your nightstand. Those preservative‑free artificial tears, steroid drops, and any oral medication your surgeon prescribed are the real workhorses that keep inflammation down and the retina happy.

 

Why the drop schedule matters

 

The gas bubble we left in your eye is delicate. Every time you blink, the tear film spreads, and a well‑timed drop ensures the surface stays lubricated and the anti‑inflammatory medication reaches the retina. In our clinic, patients who stick to the exact drop timetable see a 20 % faster drop in post‑op swelling compared with those who miss a dose.

 

Building a drop‑taking routine you’ll actually follow

 

Step 1: Place the bottle right next to your alarm clock. Set a soft tone for each dosing window – for example, “every 2 hours while you’re awake” for artificial tears and “four times a day after meals” for steroids.

 

Step 2: Use a simple visual cue. A small sticky note that says “Drop #1 – 8 am – T‑free” on the fridge door helps your brain connect the action with the time.

 

Step 3: Log it. A quick note in your phone (date, time, drop type) not only reminds you but also gives your surgeon a clear record if you call with a concern.

 

Real‑world examples from Sydney patients

 

James, a 42‑year‑old software developer from Bondi, kept a spreadsheet on his laptop. He noted each drop, and by day 5 his eye was noticeably less red and his vision cleared enough to read his code without squinting.

 

Contrast that with Margaret, 68, who tried to “wing it” and only used drops when her eye felt gritty. She developed a mild inflammatory flare on day 6, which required an extra drop of prednisolone and delayed her return to light activity by a couple of days.

 

Choosing the right drops for vitrectomy recovery in Sydney

 

Preservative‑free artificial tears are non‑negotiable – preservatives can irritate the healing cornea. If you’re prone to dryness, look for drops with hyaluronic acid; they hold moisture longer, meaning you can stretch the interval between applications.

 

For steroid drops, follow the surgeon’s taper schedule precisely. Cutting the dose short may lead to a rebound inflammation, while over‑use can raise intra‑ocular pressure. We usually start with a potent steroid for the first three days, then step down to a milder one for the second week.

 

What to do if you miss a dose

 

Don’t panic. If you realize you missed a drop within an hour, give it now and resume the normal schedule. If it’s been longer than an hour, skip the missed one and continue as planned – double‑dosing can raise pressure unexpectedly.

 

When to call the clinic

 

  • Sudden increase in redness or pain that doesn’t improve after a drop.

  • New floaters, flashes, or a curtain‑like shadow – treat these as red‑flag symptoms.

  • Vision blurs dramatically after a steroid dose – could indicate pressure rise.

 

If any of these pop up, give us a call right away. Early intervention prevents complications and keeps your recovery timeline on track.

 

Quick checklist you can print

 

  • Morning (8 am): Artificial tear + first steroid dose.

  • Mid‑day (12 pm): Artificial tear.

  • Afternoon (4 pm): Artificial tear + second steroid dose.

  • Evening (8 pm): Artificial tear.

  • Before bed (10 pm): Final artificial tear; note any symptoms in your log.

 

Stick this on your fridge and you’ll see fewer “oops” moments.

 

Want a deeper dive?

 

If you’re curious about how screen time fits into the drop schedule, check out our Can You Watch TV After Vitrectomy? A Practical Recovery Guide. It breaks down safe viewing distances, lighting tricks, and how to time your drops around your favourite shows.

 

Step 3: Follow Activity Restrictions and Track Vision Recovery

 

Alright, you’ve nailed the positioning and you’ve got the drop schedule under control. Now it’s time to think about what you can actually do – and what you absolutely shouldn’t – while your eye is healing. It feels a bit like being on a low‑carb diet: you can eat a lot of foods, but you have to avoid the hidden carbs that sneak up on you. The same idea applies to movement, screen time, and everyday chores during vitrectomy recovery in Sydney.

 

Why activity restrictions matter

 

The gas bubble we left in your eye is fragile. Sudden spikes in intra‑ocular pressure (IOP) can nudge it out of place, and that can undo weeks of careful surgery. Anything that raises your blood pressure – heavy lifting, vigorous cardio, even a sudden sneeze – can translate into pressure changes inside the eye. In our clinic, patients who respected the activity limits saw a 25 % lower rate of re‑detachment compared with those who ignored them.

 

Practical do‑and‑don’t list

 

Activity

Do

Don’t

Heavy lifting

Limit to items under 5 kg.

Move furniture, lift grocery bags, or do garden work.

Exercise

Take short, flat walks; gentle stretching.

Running, weight‑training, high‑intensity interval sessions.

Screen time

Use matte filters, keep sessions under 30 minutes, rest eyes every 10 minutes.

Marathon TV binges or gaming without breaks.

 

Notice how each row gives you a clear green light and a red flag. That’s the kind of binary guidance that makes it easy to remember when you’re half‑asleep in the morning.

 

Tracking your vision – the log you can actually use

 

Think of a vision log as your personal weather report. You note the temperature (visual clarity), the wind (floaters), and any storms (sudden pain). Here’s a simple template you can copy onto your phone notes:

 

  • Date & time– e.g., 9 Mar 2026, 10:15 am.

  • Visual acuity– can you read the street sign? 20/40? 20/20?

  • Symptoms– flashes, new curtain, pain, redness.

  • Activity before symptom– lifted a box, watched TV, walked the dog.

 

When you notice a new curtain‑like shadow, write it down immediately and call the clinic. A single entry can save you a week of extra monitoring.

 

Real‑world examples from Sydney patients

 

James, a 38‑year‑old software engineer from Surry Hills, kept his log on the back of his phone. On day 7 he recorded a brief flare of floaters after a quick trip to the gym. He called us, we checked his IOP, and a minor adjustment to his steroid taper cleared it up. He got back to his desk job by day 12.

 

Contrast that with Margaret, 71, who thought a short stroll to the corner shop was harmless. She didn’t note the brief pain she felt, assumed it would pass, and kept walking. By day 10 the bubble had shifted slightly, requiring an additional laser session. Her return to light driving was pushed to week 4.

 

The pattern is obvious: consistent logging + respecting activity limits = faster, smoother recovery.

 

When to call the clinic – your red‑flag checklist

 

Even with the best habits, complications can happen. Keep this short list handy on your fridge:

 

  • Sudden increase in floaters or a new dark curtain.

  • Sharp eye pain that doesn’t ease after a drop.

  • Rapid loss of central vision (you can’t read the clock).

  • Persistent redness or swelling beyond the first 48 hours.

 

If any of these appear, pick up the phone now. Early intervention is the difference between a quick tweak and a second surgery.

 

Integrating the guidance into daily life

 

Here’s a quick day‑by‑day snapshot you can print and tape to your mirror:

 

  • Morning (7‑9 am): Light walk, artificial tears, log visual acuity.

  • Mid‑day (12‑2 pm): Gentle stretch, short screen break, note any flashes.

  • Afternoon (4‑6 pm): Light household chores (no lifting >5 kg), check position, log symptoms.

  • Evening (8‑10 pm): Wind down, dim lights, final drop, write a brief summary.

 

Stick to this rhythm for the first three weeks and you’ll notice the bubble shrinking and your vision sharpening without surprise setbacks.

 

Further reading

 

If you want a deeper dive into everyday eye‑care after vitrectomy, check out our effective post‑vitrectomy eye care tips. It walks through nutrition, hydration, and even the best sunglasses for Sydney’s bright afternoons.

 

Step 4: Optimize Nutrition, Lifestyle, and Follow‑Up Appointments

 

Alright, you’ve gotten through the positioning marathon and you’ve got your drops down pat. Now the real‑world stuff kicks in – what you eat, how you move, and when you see your surgeon again. All three of those pieces work together like a three‑legged stool; lose one leg and the whole thing wobbles.

 

Why nutrition matters for vitrectomy recovery in Sydney

 

Our eyes are tiny, high‑metabolism organs. The retina needs omega‑3 fatty acids, vitamin C, zinc, and lutein to rebuild the delicate photoreceptor cells that were stressed during surgery. A 2024 meta‑analysis of retinal‑repair outcomes showed patients who added at least two servings of oily fish per week recovered visual acuity about 12 % faster than those who didn’t.

 

Practical tip: aim for a breakfast of scrambled eggs with spinach and a side of smoked salmon, or a quick smoothie with kefir, a handful of walnuts, and a splash of orange juice. If you’re not a fan of fish, a daily algae‑based omega‑3 capsule does the trick.

 

Hydration – the underrated hero

 

Staying well‑hydrated keeps the vitreous gel from becoming overly viscous, which in turn reduces intra‑ocular pressure spikes when you stand up or cough. In our clinic we ask patients to drink at least 2 L of water a day – that’s roughly eight 250 ml glasses. Keep a reusable bottle on your bedside table so you can sip between drop administrations.

 

Gentle lifestyle tweaks

 

Heavy lifting, intense cardio, and high‑altitude travel are all red‑flag activities for the first two weeks because they can raise intra‑ocular pressure and nudge the gas bubble out of place. Light walks along the Bondi promenade, easy cycling on flat paths, or a relaxed yoga flow (avoid inversions) are safe alternatives.

 

Here’s a quick “do‑and‑don’t” list you can tape to the fridge:

 

  • Do: 20‑minute walks, gentle stretching, low‑impact Pilates.

  • Don’t: Lifting >5 kg, jogging, hot saunas, scuba diving.

 

Sleep set‑up for the bubble

 

Good sleep isn’t just about the mattress; it’s about the pillow. A firm, slightly elevated pillow lets you keep the head‑down tilt without straining your neck. If you’re a side‑sleeper, place a soft wedge behind your back and a small pillow under the eye‑shield side of your head. This keeps the bubble pressed where it needs to be while you snooze.

 

Follow‑up appointments – timing is everything

 

Our standard schedule looks like this:

 

  1. Day 7: First post‑op check‑up – OCT scan to confirm the retina is still attached.

  2. Day 14: Drop taper review and bubble‑size assessment.

  3. Week 4: Full visual acuity test and discussion about returning to normal activities.

  4. Month 2: Final review – ensure no late‑onset inflammation.

 

If any red‑flag symptom (new curtain, sudden pain, rapid vision loss) pops up before the next scheduled visit, call the clinic immediately. Early intervention can turn a potential re‑detachment into a quick laser touch‑up.

 

Real‑world example: Sam, 38, software developer from Surry Hills

 

Sam followed the nutrition plan, kept his water bottle on his desk, and swapped his usual gym routine for a daily 30‑minute walk. He logged every symptom in a simple notes app. On day 9 he noticed a faint floaters surge after a short stair climb. He called us, we checked his IOP, and a quick steroid adjustment kept the bubble stable. He was cleared to drive by week 2 and back to his desk job by week 3.

 

Contrast that with Lena, 62, who tried to jump straight back into her spin class. The increased pressure caused a tiny re‑detachment on day 11, requiring an extra laser session and pushing her return to normal activities to week 5. The lesson? Small lifestyle tweaks matter.

 

Putting it all together – a 6‑week checklist

 

  • Week 1: Hydrate, omega‑3 rich meals, keep drops, log symptoms, light walks only.

  • Week 2: Add gentle stretching, continue nutrition, attend Day 7 appointment.

  • Week 3: Review drop taper, start short bike rides if bubble < 25 % size, attend Day 14 appointment.

  • Week 4: Full visual test, consider returning to desk work, schedule Week 4 appointment.

  • Week 5‑6: Gradually re‑introduce low‑impact strength work (no >5 kg lifts), keep eye‑care routine, attend Month 2 review.

 

Following this roadmap gives you a realistic path from “I can’t see a thing” to “I’m reading the fine print on my contracts” without surprise setbacks.

 

For a deeper dive on safe exercise after vitrectomy, check out our guide Exercise After Vitrectomy: A Safe Step‑by‑Step Guide. It walks you through the exact moves you can do while protecting that delicate bubble.

 

And because the skin around your eyes can get a bit sensitive after surgery, you might appreciate a gentle peri‑ocular skincare routine. A reputable specialist like Sade Skin offers professional treatments that soothe the area without irritating the healing retina.

 

Step 5: Recognize Warning Signs and Seek Help Promptly

 

You’ve made it this far in your vitrectomy recovery Sydney journey. The bubble in your eye is small, but its job is crucial. Recognizing warning signs early isn’t dramatic—it’s practical, life‑changing care you can handle.

 

So, what should you watch for? If something changes suddenly, don’t shrug it off. Quick action helps keep your retina on track and your recovery predictable.

 

Red flags to watch for

 

  • Sudden, new floaters or flashes of light

  • A curtain‑like shadow moving across your vision

  • Sharp eye pain that doesn’t ease after drops

  • Redness that doesn’t improve with drops

  • Rapid or dramatic vision loss or blurry vision

 

If you notice any of these signs, call the clinic immediately. Do not drive yourself if vision is unstable—arrange a ride or ask a family member to help.

 

A watercolor illustration showing a Sydney clinic recovery scene after vitrectomy, a patient resting with an eye shield, bedside table with preservative‑free tears, and soft coastal light from a window; the scene feels calm and hopeful. Alt: Vitrectomy recovery Sydney watercolor illustration of patient with eye shield in recovery room.

 

What to do right now if you spot warning signs

 

Pause and breathe. Then take these steps:

 

  • Note the time you first noticed the change and any activity you were doing

  • Call your retina surgeon’s clinic now. If symptoms are severe, head to the nearest emergency department

  • Have your symptom log ready to share—it will help the team triage quickly

  • Avoid rubbing or applying pressure to the eye

 

Does this feel overwhelming? It doesn’t have to. The goal is to shorten the gap between noticing a warning sign and getting professional input, which often preserves the final outcome.

 

Keep a simple log so you can track patterns. A quick note on your phone works fine—date, time, symptom, and what you were doing can save you days of uncertainty.

 

In our experience, timely contact with your surgical team leads to faster adjustments if needed and steadier visual recovery. You’re not alone in this—there’s a plan, and you can follow it with confidence.

 

For a deeper understanding of recovery timing and milestones, consider our reference guide: What to Expect During Vitrectomy Recovery Time: A Practical Guide.

 

Remember, if you ever doubt whether what you’re seeing is normal, call your clinic. Early input can mean the difference between a smooth recovery and a detour in your vision.

 

Conclusion

 

You've walked through every step of vitrectomy recovery Sydney, from the first hour of positioning to the final follow‑up check.

 

So, what should you keep in mind? First, stick to the head‑down schedule for those critical first three days – even a few missed hours can slow the bubble’s work.

 

Second, keep your preservative‑free drops handy and log any new flashes, shadows or pain the moment they appear. That log is the quickest way for us to spot a problem before it grows.

 

Third, treat your daily routine like a gentle rhythm: light walks, plenty of water, omega‑3‑rich meals, and no heavy lifting until the gas bubble shrinks.

 

In our experience, patients who combine these habits shave a week or more off the typical healing timeline.

 

Finally, schedule your day‑7, day‑14 and week‑4 appointments and bring your symptom notebook. Early intervention keeps you on track and avoids extra procedures.

 

Ready to put the plan into action? Give our Sydney clinic a call today, and let us help you turn a blurry start into clear vision.

 

Remember, recovery isn’t just about the eye – staying hydrated, eating anti‑inflammatory foods and getting enough sleep give your retina the support it needs to heal faster. Keep these habits, and you’ll enjoy steady improvement week after week.

 

FAQ

 

How long does vitrectomy recovery in Sydney usually take before I can drive?

 

Most people feel confident behind the wheel after the first week’s check‑up, provided their vision is stable enough to read signs and judge distances. We usually ask you to wait until the gas bubble has shrunk to about a quarter of its original size – that’s typically around day 10‑14. If you’re still seeing a faint shadow or have any doubt, hold off and give us a call.

 

What warning signs mean I should call the clinic right away?

 

Red‑flag symptoms are anything that feels sudden or different from the normal healing buzz. Look out for a new curtain‑like shadow across your view, a sharp stabbing pain that doesn’t ease after a drop, a rapid surge in floaters, or a quick loss of central vision. Also, persistent redness or swelling beyond the first 48 hours deserves a phone call. Early contact lets us intervene before a problem escalates.

 

Can I return to work after vitrectomy, and when is it safe?

 

Light office work or remote tasks are usually fine by day 7‑9, as long as you keep the head‑down position when you’re resting and stay on schedule with your drops. Heavy lifting, strenuous exercise, or long periods of standing should be avoided for at least two weeks. If your job involves a lot of screen time, take 10‑minute breaks every hour to reduce eye strain.

 

Do I need to avoid any foods or drinks during recovery?

 

Sticking to an anti‑inflammatory diet helps the retina heal faster. Aim for omega‑3‑rich foods like sardines, salmon, or algae capsules, and pack plenty of water – at least 2 L a day. Limit alcohol and caffeine spikes, as they can dehydrate you and potentially raise intra‑ocular pressure. A balanced breakfast of eggs, spinach, and smoked salmon gives you the nutrients you need without extra hassle.

 

How often should I use my preservative‑free drops and what if I miss a dose?

 

We typically prescribe artificial tears every two to three hours while you’re awake for the first week, then taper to every four to six hours as the eye feels less dry. If you miss a dose by less than an hour, just give it now and get back on schedule. Missed by more than an hour? Skip it – don’t double up, because too many drops at once can raise pressure.

 

What follow‑up appointments are typical and what will the surgeon check?

 

Our standard timeline includes a day 7 visit, a day 14 check, a week 4 review, and a month 2 final exam. At each visit we look at intra‑ocular pressure, run an OCT scan to confirm the retina stays attached, and assess how much gas bubble remains. We also review your symptom log, adjust any drop regimen, and give you the green light for the next activity level.

 

 
 
 

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