Vitrectomy for Retinal Detachment

Vitrectomy is currently the standard technique for treating most retinal detachments. It involves creating 3 little holes on the sclera (white of the eye) through which 3 different instruments are put through. It allows for the removal of the vitreous gel inside the eye, after which we identify where the holes in the retina are. The holes are then treated with either freezing treatment or laser. A bubble of gas is then placed inside the eye to help push the retina in its place. This bubble of gas is then gradually absorbed by the eye, a process that takes some weeks. During this time the vision will be very blurry. Occasionally, we have to use oil inside the eye to help the retina stay in its place. The oil is then removed after a few months, a process that requires another operation. Sometimes we leave the oil in the eye, usually when the surgeon feels that removing it may cause the retina to detach again.

Following the operation drops are used for a few weeks to reduce the inflammation in the eye. Regular post-operative check-ups are required to ensure a good outcome.