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Vitreo Retinal Surgery
Vitreo-retinal surgery is a highly specialised area of ophthalmology focused on conditions affecting the retina and vitreous — the delicate structures at the back of the eye that are essential for vision.
These conditions can significantly impact sight and, in some cases, require urgent surgical treatment to preserve or restore vision.
At Institute of Eye Surgery, patients requiring vitreo-retinal care are assessed and managed by experienced specialists using advanced surgical techniques and technology.
What Is Vitreo-Retinal Surgery?
Vitreo-retinal surgery involves operating on the retina, macula, or vitreous gel inside the eye. The most common procedure is a vitrectomy, where the vitreous gel is carefully removed to allow treatment of the underlying retinal condition.
These procedures are performed with precision and are tailored to the specific condition affecting each patient.
Conditions Treated with Vitreo-Retinal Surgery
Retinal Detachment
A retinal detachment occurs when the retina separates from the back wall of the eye — often described as being similar to wallpaper peeling away from a wall.
Without treatment, a detached retina will not reattach on its own and can lead to permanent vision loss.
Vitreo-retinal surgery is required to:
- Reattach the retina
- Seal retinal tears
- Restore or preserve vision
Early assessment and treatment greatly improve surgical outcomes.
Epiretinal Membrane (ERM)
An epiretinal membrane is a thin layer of scar tissue that forms on the surface of the macula, the part of the retina responsible for detailed central vision.
This can cause:
- Distorted or wavy vision
- Blurring of fine detail
Surgery involves gently peeling the membrane from the retinal surface to improve vision and reduce distortion.
Macular Hole
A macular hole is a small defect in the centre of the retina that affects sharp, central vision.
- In a small number of cases, early treatment may involve injection therapy
- In most cases, vitreo-retinal surgery is required to repair the hole and improve visual outcomes
Vitreous Haemorrhage
A vitreous haemorrhage occurs when blood leaks into the vitreous gel inside the eye, commonly due to diabetic eye disease or retinal blood vessel problems.
If the blood does not clear naturally:
- Vision may be restored
- Surgery may be required to remove the blood
- The retina can then be assessed and treated
What to Expect: Vitreo-Retinal Surgery at IOES
Before Surgery
You will undergo a detailed retinal assessment, including advanced imaging, to confirm the diagnosis and determine the most appropriate treatment.
Your consultant will:
- Answer questions and address concerns
- Explain your condition clearly
- Discuss surgical options and expected outcomes
During Surgery
Vitreo-retinal procedures are performed using microsurgical techniques.
- Surgery is typically performed under local or general anaesthesia
- The approach depends on the condition being treated
- Every step is tailored to maximise safety and visual outcome
After Surgery
After surgery, you’ll receive detailed aftercare instructions, which may include:
- Eye drops to support healing
- Temporary activity restrictions
- Follow-up appointments to monitor recovery
Recovery times vary depending on the procedure and condition treated, and your care team will guide you throughout the process.
Important Safety Note
Symptoms such as sudden vision loss, a curtain or shadow in your vision, new flashes or floaters, or rapid visual distortion require urgent eye assessment. Early evaluation is critical for retinal conditions.
Frequently Asked Questions About Vitreo-Retinal Surgery
Take the Next Step
Vitreo-retinal conditions require specialist care and timely assessment.
Contact our team or book an appointment to learn more about vitreo-retinal assessment and surgery at IOES.