Part of the eye: Vitreous
Vitrectomy and macular surgery
Vitrectomy removes the clear gel that fills the eye so the surgeon can work directly on the retina. It is the central operation of retinal surgery.
Used to treat
- Bleeding inside the eye (vitreous haemorrhage)
- Macular hole
- Epiretinal membrane that distorts vision
- Complications of diabetic eye disease
- Retinal detachment
How it is treated
Through three tiny openings in the white of the eye, fine instruments remove the vitreous gel. The surgeon can then peel scar tissue, close a macular hole, clear blood or repair a detachment.
The operation is usually done under local anaesthetic as a day case, and often takes about an hour.
Recovery and outlook
The eye may be red and blurred for a few weeks. If a gas bubble is used, head positioning is needed for a few days and you must not fly until it has absorbed.
Common questions
Is vitrectomy painful?
It is done under local anaesthetic, so you should not feel pain during surgery. Mild discomfort afterwards is usually controlled with simple painkillers.
Can vitrectomy cause cataract?
Cataract often develops sooner in an eye that has had a vitrectomy. It is treated with routine cataract surgery when it affects your vision.
This page is general information and does not replace an eye examination. Treatment is decided after Dr. Al-Janabi has examined you.