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What is Vitrectomy?

Vitrectomy is a surgical procedure performed to remove the vitreous humor partially or entirely. The surgery may involve any or all of the following- 

  • Removal of blood or other substances that is preventing light from reaching the retina. 
  • Removal of scar tissue in the vitreous humor. 
  • Repairing retinal tears or holes. 
  • Reattaching a detached retina to the eye wall. 
  • Removal of foreign objects that may get stuck in the eye due to an injury. 

It is a very successful procedure to resolve retinal diseases and prevent vision loss. 

USFDA Approved Procedures

USFDA Approved Procedures

No Cuts. No Wounds. Painless*.

No Cuts. No Wounds. Painless*.

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1 Day Procedure

1 Day Procedure

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Best Doctors For Vitrectomy

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Best Clinics For Vitrectomy

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  • 4/5
    Pristyncare Clinic image : No A 24  Hauz Khas Delhi Delhi - Delhi

    Pristyn Care Hauz Khas

    No A 24 Hauz Khas Delhi Delhi - Delhi

  • 4/5
    Pristyncare Clinic image : Gaurav Garden Complex, Bungalow No. 6 Bandar Pakhadi Rd Kandivali...

    Pristyn Care Kandivali West

    Gaurav Garden Complex, Bungalow No. 6 Bandar Pakhadi Rd Kandivali...

  • 4/5
    Pristyncare Clinic image : B-Block,No.243 Kondapur Main Road, Sri Ramnagar Kondapur Hyderabad Hyderabad -...

    Pristyn Care Kondapur

    B-Block,No.243 Kondapur Main Road, Sri Ramnagar Kondapur Hyderabad Hyderabad -...

  • 4/5
    Pristyncare Clinic image : 17th Cross Road, 495 24th Main Rd, Sector 2 HSR...

    Pristyn Care HSR Layout

    17th Cross Road, 495 24th Main Rd, Sector 2 HSR...

Best Eye Care Centre for Vitrectomy Surgery

Best Eye Care Centre for Vitrectomy Surgery

Pristyn Care provides treatment for various types of retinal disorders through vitrectomy. Our eye specialists perform this surgery to access the retina and resolve eye problems like diabetic retinopathy, vitreous hemorrhage, eye infection, severe eye injury, retinal detachment, cataract surgery complications, macular pucker, etc. We have a team of ophthalmologists who have 10+ years of experience in performing eye surgeries, including vitrectomy. 

We have our own clinics and partnered hospitals across various cities in India. The treatment centers have modern infrastructure and amenities that are important to provide optimal care to the patients. We also provide special training to all our medical and non-medical professionals to ensure they provide best-in-class eye care. You can book a free appointment with our eye specialists and discuss your problems to get proper treatment. 

Indications of Vitrectomy Surgery

Indications of Vitrectomy Surgery

  • Retinal pathologies, such as retinal tears, retinal holes, and detached tissues. 
  • Endophthalmitis, i.e., inflammation of the inner eye. 
  • Macular diseases, including macular edema and macular holes. 
  • Vitreous hemorrhage, i.e., bleeding and scar tissue formation in the vitreous humor. 
  • Penetration of an intraocular foreign object. 
  • Dislocated lens fragments in vitreous or penetrating injury that leads to vitreous hemorrhage or retinal detachment. 
  • Vitreomacular traction syndrome or epiretinal membranes. 

What happens in Vitrectomy?

What happens in Vitrectomy?

As vitrectomy can be performed for a variety of retinal diseases, several tests may be recommended before proceeding. The tests may include visual acuity tests, fundus photography, fundus fluorescein angiography, retinal vessel analysis, optical coherence tomography, etc. The extent of visual impairment and damage to the eye components are determined through these tests. For further examination, a CT scan, MRI, or other tests may be recommended. 

Procedure 

The procedure for vitrectomy is not the same for all patients. Thus, the exact details of the surgery are likely to vary from one patient to another. In general, the procedure will take place in the following steps- 

  • If you are to be awake during the surgery, the doctor will give you medications to relax the eyes. 
  • Local or general anesthesia is administered to numb the eyes. 
  • The ophthalmologist will use a speculum to hold the eyes open. 
  • An incision is made in the white part of the eye, i.e., the sclera, to access the internal components of the eye. 
  • The vitreous humor is removed from the eye, including scar tissue or foreign materials. 
  • If there is a retinal tear, hole, swelling, or any other problem in the eye, the problem is addressed as needed. For instance, in case of a retinal tear, the surgeon may use a laser to repair the tear. 
  • In some cases, after the vitreous is removed, a gas bubble is also inserted into the eye to keep the retina in place. 
  • The vitreous humor will be replaced using silicone oil or saline. 
  • After making the necessary repairs, the surgeon will close the incisions with or without stitches. 
  • The eye will be cleaned, and an antibiotic ointment will be applied before covering it with a patch. 

If the patient needs surgery in both eyes, the vitrectomy will be performed on one eye at a time. The doctor will schedule the second surgery only after the first eye has recovered completely. 

How to prepare for Vitrectomy? 

How to prepare for Vitrectomy? 

Once the diagnosis is complete, the doctor will plan the treatment and provide detailed instructions to the patient to prepare him/her for the surgery. The risks, benefits, and alternatives are also presented to the patient, and written consent is taken to proceed with the surgery. 

The preparation steps will include the following- 

  • Typically, the patients are asked to eat and drink nothing 8 hours before the surgery. 
  • The physician or anesthesiology team will advise whether or not to take specific medications before or on the day of surgery. 
  • Medicines that are critical for the heart, breathing, blood pressure, seizures, or anxiety can be taken with a small amount of water. 
  • Blood thinners should be taken after consulting the physician and anesthesiology team. 

On the day of surgery, the patient will be asked to arrive early at the treatment center. The medical team at the center will admit the patient and ask to complete some formalities before the surgery. 

  • The patient is asked to change clothes before the surgery. 
  • An IV line, EKG patch, and oxygen monitor will be placed to administer medications and monitor the patient’s vital signs before and during the surgery. 

 

Risks & Complications of Vitrectomy Surgery

Risks & Complications of Vitrectomy Surgery

The risks and chances of complications associated with vitrectomy depend on the patient’s age, medical condition, and severity of the condition. Some risks and complications that may arise include the following-

  • Eye infection

  • Bleeding in the eye

  • Increased eye pressure (glaucoma)

  • Detachments in the retina

  • Damage to the natural eye lens

  • Cataract formation

  • Problems with eye movement

  • Change in refractive error

Some of these problems resolve on their own, whereas others require further intervention. So, make sure that you follow the doctor’s instructions and take proper care of the eyes.

What to expect after the vitrectomy?

What to expect after the vitrectomy?

Immediately after the surgery, the patient won’t feel anything until the effects of anesthesia wear off. As each case is different, it will be best to ask the doctor about what to expect after the procedure. 

Typically, the patient will be discharged on the same day as the surgery is performed on an outpatient basis. It is advisable to have someone accompany you as you won’t be able to drive yourself. The doctor will prescribe antibiotic medications, painkillers, anti-inflammatory medicines, and other essential medications before discharge. 

The eyes will be swollen and red after the surgery. The swelling will subside in a few days, but the redness may persist for several weeks. Initially, the vision will also be blurry and improve in the following days gradually. You will be advised to come back for a follow-up on the next day. 

Benefits of Vitrectomy

Benefits of Vitrectomy

Undergoing vitrectomy is essential to preserve vision in the patient. The surgery will be beneficial for the patients in the following aspects as well- 

  • The vision-blocking vitreous opacity will be removed, which will allow the patient to see clearly. 
  • If the retinal tissues experience abnormal traction, the surgery can address that and allow the surgeon to repair retinal tears and holes. 
  • Vitrectomy and retinal membrane removal also allow the retina to get back to its original shape and improve vision. 
  • In severe cases of retinal hemorrhage, detachment, or other conditions, only vitrectomy can help to preserve the vision. 

Note– In some cases, diagnostic vitrectomy is also performed to diagnose vitreoretinal conditions. 

FAQs around Vitrectomy

How much does a vitrectomy cost in India?

The cost of vitrectomy surgery in India ranges from Rs. 40,000 to Rs. 70,000 approximately. The actual cost of surgery will be different for each patient depending on the existing eye problem and its severity. 

Is vitrectomy surgery covered under health insurance?

Yes, vitrectomy surgery is covered by all health insurance plans under the base policy. There may be a waiting period of 2/4 years before you can file a claim. So, make sure that you consult the insurance provider to understand the terms and conditions. 



Does vitrectomy help to restore and improve vision?

A vitrectomy is usually performed to treat the conditions that cause irreversible damage to the eyes. However, it can only preserve the vision, not improve or restore it. 

 

Can I watch TV or use mobile after the vitrectomy?

Yes, you are free to watch TV or use mobile phones after the surgery. Reading is the only activity that you may find difficult to perform for several days. Otherwise, there won’t be any restrictions. 

 

Can I wear the same refractive glasses after a vitrectomy?

Most likely, no. After a vitrectomy, your refractive power is likely to change and hence, you will need new glasses to see clearly. It will be best if you wait for at least a week to get new glasses or use the old ones. The doctor will examine your eyes after the surgery and prescribe glasses after the eye heals. 



Types of Vitrectomy Surgery

Types of Vitrectomy Surgery

Posterior or Pars Plana Vitrectomy

It is the most common approach to vitrectomy. When the surgery is being performed to address the diseases of the posterior segment of the eye, it is called posterior or pars plana vitrectomy. It involves the removal of some or all of the vitreous humor to get access to the deeper components of the eye. 

Anterior Vitrectomy 

As the name suggests, this surgery involves addressing the problem in the anterior chamber of the eye. This approach is chosen when the vitreous gel passes through the pupil and leads to vision problems. The vitreous gel can reach the front part of the eye due to an injury, lens problem, or as a complication of cataract or glaucoma surgery. 

Recovery & Results of Vitrectomy

Recovery & Results of Vitrectomy

The recovery period after vitrectomy will be around 2 to 4 weeks. The doctor or his/her team will give you detailed instructions for post-surgery care. 

  • Wear an eye patch on the day of surgery to prevent dust, dirt, smoke, and other particles from entering the eye. 
  • Use the prescribed medications as directed by the doctor to reduce the risk of post-surgery complications. 
  • Do not drive or perform strenuous physical activities, such as exercise or heavy lifting, while the eyes are healing. 
  • If an eye bubble is placed in the eye, the doctor may suggest keeping the head in a certain position. Make sure to comply with this. 
  • Avoid flying in an aeroplane or travelling to higher altitudes, as it can affect the bubble in the eye. 
  • Visit the doctor as suggested for follow-ups to monitor the recovery and success rate of the procedure. 
  • If silicone oil is injected into the eye during vitrectomy, you may need another procedure to remove the oil. 
  • If the eye problem has caused irreversible damage, your vision may not be restored with the procedure. 

Severe complications after vitrectomy are rare, and the success rate of the procedure is higher than 90% in most cases. 

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