What is Vitreoretinal Surgeon?
A specialized branch of ophthalmology that focuses on the medical and surgical treatment of retina, vitreous (jelly like inside eyeball) and macula ( eye central vision)
This field addresses a wide range of issues behind the eyes, including Age-related macular degeneration (AMD), Retinal detachment, Epiretinal membrane, Macular holes, infection, Intraocular foreign body and trauma.
Vitreoretinal surgeons are trained to perform a procedure of laser therapy, cryotherapy, retinal detachment surgery, and vitrectomy (removal of the vitreous)
Which Condition Can We Treat?
What is Retinal Detachment?
Retinal detachment is a serious eye condition in which the retina, a layer of tissue at the back of the eye, pulls away from its normal position. This can lead to a sudden and severe loss of vision and requires immediate medical attention.
If you experience these symptoms, it’s crucial to consult an ophthalmologist immediately to prevent potential vision loss. Timely diagnosis and treatment can greatly improve the chances of restoring vision and preventing further complications
What are the Treatment for Retinal Detachment?
Retinal detachment is a medical emergency and requires immediate attention from a trained retinal surgeon
Vitrectomy Surgery
- Performed to remove the vitreous gel from the eye with 3 tiny incisions.
- Laser burns are applied to seal retinal holes.
- Special gas or silicone oil is inserted to prevent re-detachment.
- Modern vitrectomy is suture-less, allowing for faster recovery and less post-op pain.
- Wide-angled viewing systems enhance visualization during surgery.
Scleral Buckle Surgery
- A piece of silicone (scleral buckle) is sutured to the outside of the eye.
- The retinal hole is treated with cryotherapy (freezing treatment).
- The buckle presses the eye inward to help close the retinal hole.
- The buckle usually isn’t removed and it’s not visible after surgery.
- This procedure, known as “Cryo-buckle,” can be combined with vitrectomy for complex cases.
Pneumatic Retinopexy
- Suitable for a few selected cases
- It combines cryotherapy (freezing the retinal tear) with injection of a gas bubble, without removal of the vitreous or use of a scleral buckle.
What to Expect After Surgery?
- Patients may need to maintain a face-down posture to allow the gas bubble to contact the retina.
- The gas bubble typically dissolves on its own within a month.
- Avoid air travel if gas is present in the eye, as altitude can increase pressure.
- Silicone oil, if used, requires removal in a second operation after 6 months.
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Frequently Asked Questions
Q1. What is vitrectomy surgery?
Vitrectomy surgery is an eye treatment in which a doctor removes the clear gel inside the eye. This helps to correct serious eye problems such as retinal tears, bleeding, or holes in the macula. Kleye Centre surgeons use special instruments to protect your vision and improve eye health.
Q2. Does vitreoretinal surgery hurt?
Most patients experience little or no pain during the surgery. The doctor uses local anesthesia to numb the eye. After the surgery, you may experience mild pain or burning. Simple pain relief medication usually helps you recover quickly.
Q3. What should I not do after surgery?
You should avoid lifting heavy objects immediately. Avoid strenuous exercise until your doctor says it is safe. Do not swim during recovery. You may also need to keep your head in a special position. These steps help your eye heal properly.
Q4. Can diabetics safely undergo this surgery?
Yes, diabetics can undergo this surgery with proper care. Good blood sugar control is very important before and after the procedure. Recovery may take longer, and your doctor will monitor you closely for infection or swelling. Careful planning helps keep your treatment safe.
Q5. Will one surgery be enough?
Some people will only need one surgery. Others may need a second procedure if the eye problem is more severe. This does not mean that the first surgery was a failure. It simply means that the eye needs additional treatment for the best outcome.